Active NPI
George Youssef
- Internal Medicine Physician
- Granger, IN
National Provider Identifier
1225376304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01072819A
- Practice address
- 5610 Town Center Drive #14
Granger, IN 46530 - Phone
- (718) 715-2325
- NPI assigned
- Jan 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01072819A | IN | Primary |
Addresses
Primary practice location
5610 Town Center Drive #14
Granger, IN 46530
Mailing address
5610 Town Center Dr Apt 14
Granger, IN 46530-4436
Phone (718) 250-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01072819A | IN | MD | Internal Medicine Physician |
Interoperability endpoints
- gyoussef889235@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1225376304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5610 TOWN CENTER DR APT 14",
"city": "GRANGER",
"state": "IN",
"postal_code": "465304436",
"telephone_number": "718-250-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 TOWN CENTER DRIVE #14",
"city": "GRANGER",
"state": "IN",
"postal_code": "46530",
"telephone_number": "718-715-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSSEF",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-23",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01072819A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granger, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.