Individual provider Active NPI

George Michael Bescak, D.O.

  • Nephrology Physician
  • Amherst, OH
National Provider Identifier
1235102765
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34002683B Issued in OH
Practice address
100 Cooper Foster Park Rd Ste 1
Amherst, OH 44001-1002
Phone
(440) 282-5701
Fax
(440) 282-7443
NPI assigned
Feb 7, 2006
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34002683 OH
Nephrology Physician 207RN0300X 34002683 OH
Nephrology Physician 207RN0300X 34002683B OH Primary

Addresses

Primary practice location

100 Cooper Foster Park Rd Ste 1
Amherst, OH 44001-1002

Mailing address

100 Cooper Foster Park Rd Ste 1
Amherst, OH 44001-1002
Phone (440) 282-5701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20100308000323 OH Practitioner - Internal MedicinePractitioner - Nephrology 3476698077 Reassigns benefits to 1 organization
Practice locations: Lorain, OH

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Midwestern University, Chicago College of Osteopathic Med, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Nephrology IncGroup PAC ID 6002704913, 6 clinicians

Practice addresses (Care Compare)

100 Cooper Foster Park Rd
Suite 1
Amherst, OH 44001-1002
Phone (440) 282-5701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.88 of 100Reported as group
Quality
97.66
Improvement activities
40
Cost
72.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34002683BOHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Nephrology, Inc Nephrology CurrentSince Feb 1, 2018 Accepting new patients
Americare Kidney Institute LLC Nephrology Past Accepting new patients
George M. Bescak, D.O. Inc. Nephrology PastSince Jan 1, 1990 Accepting new patients

Locations

100 Cooper Foster Park Rd
Ste 1
Amherst, OH 44001
Phone (440) 282-5701

1170 E Broad St
Ste 102
Elyria, OH 44035
Phone (440) 323-3574

Interoperability endpoints

  • Direct secure messaging: gbescak37177@ehrdirect.uhhospitals.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBIIAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBIIAD/Endpoint/HBIIAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBBACA

Organizations & group practices 3

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

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1235102765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COOPER FOSTER PARK RD STE 1",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011002",
            "telephone_number": "440-282-5701",
            "fax_number": "440-282-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COOPER FOSTER PARK RD STE 1",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011002",
            "telephone_number": "440-282-5701",
            "fax_number": "440-282-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESCAK",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34002683",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34002683",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34002683B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, OH

Sources for this page

Verify at the official NPI Registry.