Individual provider Active NPI

Vimal T George, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1245285345
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M1699 Issued in TX
Practice address
5145 FM 620 N BLDG I
Austin, TX 78732-1839
Phone
(512) 681-5901
Fax
(512) 681-5922
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M1699 TX Primary

Addresses

Primary practice location

5145 FM 620 N BLDG I
Austin, TX 78732-1839

Mailing address

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 681-5901

Other identifiers 1

IdentifierTypeStateIssuer
182681002MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VIMAL.GEORGE@hca8.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060912000281 TX Practitioner - Family Practice 8820009061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-2530

5145 FM 620
Austin, TX 78732-1815
Phone (512) 681-5960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.85 of 100Reported as individual
Quality
88.22
Promoting interoperability
99
Improvement activities
40
Cost
78.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1699TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Austin Diagnostic Clinic, PLLC CurrentSince Aug 14, 2006 Accepting new patients
The Austin Diagnostic Clinic, PLLC Current Accepting new patients
Austin Diagnostic Clinic CurrentSince Aug 14, 2006 Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients
The Austin Diagnostic Clinic, PLLC Past Accepting new patients

Locations

5145 Ranch Road 620 N
Bldg I
Austin, TX 78732
Phone (512) 681-5900

4315 James Casey St
Austin, TX 78745
Phone (512) 460-3404

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

5145 Ranch Road 620 N
Austin, TX 78732
Phone (512) 266-1392

5145 FM 620 N
Bldg 1
Austin, TX 78732
Phone (512) 338-0492

Interoperability endpoints

  • Direct secure messaging: 11219-george-vimal@direct.leadingreach.com

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 3

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1245285345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401",
            "telephone_number": "512-681-5901",
            "fax_number": "512-681-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 FM 620 N BLDG I",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787321839",
            "telephone_number": "512-681-5901",
            "fax_number": "512-681-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "VIMAL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M1699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182681002",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VIMAL.GEORGE@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5145 Fm 620 N Bldg I",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787321839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.