Mumtaz George, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301038490 Issued in MI

Practice address

5130 Coolidge Hwy
Royal Oak, MI 48073-1001

Phone

(248) 288-9500

Fax

(248) 288-0044

NPI assigned

Sep 27, 2006

Last updated

Apr 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Internal Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Birmingham Royal Oak Medical GroupGroup PAC ID 4082740097, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: georgemumtaz@bromg-mi.direct.office.nextgen.com

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.

• Birmingham Royal Oak Medical Group

  • Family Medicine Physician
  • Royal Oak, MI
  • NPI 1699907550
  Medicare reassignment Care Compare group Authorized official
• Birmingham Royal Oak Medical Group PC

  • Urgent Care Clinic/Center
  • Royal Oak, MI
  • NPI 1679806996
  NPD Authorized official
• Royal Oak Medical Center PC

  • Clinic/Center
  • Royal Oak, MI
  • NPI 1184704728
  Authorized official Same address or phone
• Royal Oak Medical Center PC

  • Ambulatory Surgical Clinic/Center
  • Royal Oak, MI
  • NPI 1881795045
  Authorized official Same address or phone
• Royal Oak Medical Center, P.C.

  • Family Medicine Physician
  • Royal Oak, MI
  • NPI 1255469813
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Royal Oak

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1265523302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 COOLIDGE HWY",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731001",
            "telephone_number": "248-288-9500",
            "fax_number": "248-288-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 COOLIDGE HWY",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731001",
            "telephone_number": "248-288-9500",
            "fax_number": "248-288-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "MUMTAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301038490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Genord, MD
• Vanessa Gentry
• Geoffrey M Saham PLLC
• Geoffrey Prysak MD PLLC
• Alexander Paul George, MD
• Natalie George
• Evan Georges, CRNA
• Ludmyla Gerasymchuk
• Leonard Gerhardstein
• Jennifer Germain, BCBA

• Internal Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.