George Ivanovskis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H1379 Issued in TX

Practice address

4500 S Lancaster Rd
Dallas, TX 75216-7167

Phone

(214) 857-1911

Fax

(214) 857-1388

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Navarro Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Corsicana, TX
  • NPI 1851523252
  Medicare reassignment NPD
• Restoration of Health Medical Care, PLLC

  • Community Health Clinic/Center
  • Cedar Hill, TX
  • NPI 1922554666
  Medicare reassignment NPD
• Addiction Campuses of Texas, LLC

  dba Vertava Health of Texas - Residential Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Scurry, TX
  • NPI 1871981753
  NPD (past)
• Texas Em-1 Medical Services, PA

  • Emergency Medicine Physician
  • Frisco, TX
  • NPI 1811064462
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1144295023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 ARTS PLZ APT 2304",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012529",
            "telephone_number": "214-317-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-1911",
            "fax_number": "214-857-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANOVSKIS",
        "first_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H-1379",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H1379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kinnser",
            "affiliation": "Y",
            "endpointDescription": "EHR",
            "affiliationName": "Amedicus Hospice Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EHR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "protected",
            "address_1": "2712 Charter Oak Dr",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750742962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittney Iturrizaga, CRNA
• IV Anesthesia Services PLLC
• Ivan B Bank OD PA Insight Complete Eyecare (Insight Complete Eyecare)
• Ivan Vrcek MD PA
• Robert Mark Ivancic, LPC
• Allison Ivers, MS-CF SLP
• Austin Ivery
• Ivette C. Lozano Dba Lozano Medical Clinic
• Andrea Kay Ivey, PT, DPT
• Preston Ivey

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.