NPIMap

Individual provider Active NPI

Alexander Bancroft George, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1124552559
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
58229 Issued in KY
Practice address
705 Riley Hospital Dr RM 5867
Indianapolis, IN 46202-5109
Phone
(317) 948-0003
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 58229 KY
Internal Medicine Physician 207R00000X 58229 KY Primary

Addresses

Primary practice location

705 Riley Hospital Dr RM 5867
Indianapolis, IN 46202-5109

Mailing address

705 Riley Hospital Dr RM 5867
Indianapolis, IN 46202-5109
Phone (317) 948-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907001417 KY Practitioner - Internal Medicine 6901149426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family and Internal Medicine Associates PLLCGroup PAC ID 9335051002, 12 clinicians
VMD Primary Providers Central KentuckyGroup PAC ID 6709119068, 44 clinicians

Practice addresses (Care Compare)

325 W Walnut
Suite 600
Lebanon, KY 40033-1378

325 W Walnut St
Lebanon, KY 40033-1378
Phone (270) 699-9500

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Elizabethtown, KY, CCN 187085
  • Vna Health at Home Home health agency, Louisville, KY, CCN 187000
  • Caresouth HHA Holdings of Winchester, LLC Dba Enhabit Home Health Home health agency, Owensboro, KY, CCN 187087
  • Spring View Hospital Hospital, Lebanon, KY, CCN 180024
  • Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087
  • CHI Saint Joseph Flaget Memorial Hospital Hospital, Bardstown, KY, CCN 180025
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Village of Lebanon Nursing home, Lebanon, KY, CCN 185437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58229KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Kentucky Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Primary Care Medical Center Inc Internal Medicine Current Accepting new patients
VMD Primary Providers Central Kentucky Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
University Pediatric Associates, Inc. Pediatrics Past Accepting new patients

Locations

325 W Walnut St
Ste 600
Lebanon, KY 40033
Phone (270) 699-9500

1000 S 12th St
Murray, KY 42071
Phone (270) 759-9200

Interoperability endpoints

  • Direct secure messaging: alexander.george.1@22064.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22417/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1124552559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR RM 5867",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-948-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR RM 5867",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-948-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ALEXANDER",
        "middle_name": "BANCROFT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "58229",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "58229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.