Atif M George, MD
Individual provider Active NPI Internal Medicine Physician · Pleasant Ridge, MI
NPI 1124018627 · NPPES record last updated Dec 21, 2007
Key facts
- NPI
- 1124018627
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301043083 (MI)
- Practice address
- 23760 Woodward Ave
Pleasant Ridge, MI 48069-1130 - Phone
- (248) 543-2800
- Fax
- (248) 543-2814
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
23760 Woodward Ave
Pleasant Ridge, MI 48069-1130
Phone (248) 543-2800
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091102000575 | MI | Practitioner - Internal Medicine | 6608913165 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301043083 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atif M. George, M.D., P.C. | Internal Medicine | Current |
Accepting new patients |
| Michigan Surgery Specialists, P.C. | Past |
Accepting new patients |
Locations
23760 Woodward Ave
Pleasant Ridge, MI 48069
Phone (248) 543-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301043083 | MI | Yes |
Addresses
Primary practice location
23760 Woodward Ave
Pleasant Ridge, MI 48069-1130
Mailing address
23760 Woodward Ave
Pleasant Ridge, MI 48069-1130
Phone (248) 543-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3431423 | Medicaid | MI |
Other providers in Pleasant Ridge, MI
- Dana Howley PSYD
- Devonshire Counseling LLC
- Daniela Dillon
- Emily Jane Escott
- Eboni Freeman
- Shaye Golden
- Phyllis Hightower
- Michelle Holcombe
- Jessica Jarrard
- Jaclyn Keegan
All providers in Pleasant Ridge, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.