Individual provider Active NPI

Sabu George, MD

  • Specialist
  • Palm Beach Gardens, FL
National Provider Identifier
1265496723
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME94095 Issued in FL
Practice address
3355 Burns Rd
Suite 306
Palm Beach Gardens, FL 33410-4353
Phone
(561) 630-5460
Fax
(561) 630-2892
NPI assigned
Apr 13, 2006
Last updated
Apr 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME94095 FL Primary

Addresses

Primary practice location

3355 Burns Rd
Suite 306
Palm Beach Gardens, FL 33410-4353

Mailing address

110 Tranquilla Dr
Palm Beach Gardens, FL 33418-1744
Phone (561) 629-2361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051005000435 FL Practitioner - Gastroenterology 1557335098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Medical College of Wisconsin, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Specialist IncGroup PAC ID 0547237778, 5 clinicians

Practice addresses (Care Compare)

3355 Burns Rd
Suite 306
Palm Beach Gardens, FL 33410-4357
Phone (561) 630-8775

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy73
Upper gastrointestinal (GI) endoscopy for acid reflux74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME94095FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Specialist Inc CurrentSince Sep 1, 2005 Accepting new patients
Lobo & Adhami Gastroenterology PC Past Accepting new patients
Gastroenterology Specialists Inc Specialist Past Accepting new patients
University Health Physicians Past Accepting new patients

Locations

3355 Burns Rd
Ste 306
West Palm Beach, FL 33410
Phone (561) 630-8775

Organizations & group practices 4

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 2

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1265496723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TRANQUILLA DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181744",
            "telephone_number": "561-629-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BURNS RD",
            "address_2": "SUITE 306",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104353",
            "telephone_number": "561-630-5460",
            "fax_number": "561-630-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SABU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME94095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.