Individual provider Active NPI

Peter B George, MD

  • Cardiovascular Disease Physician
  • Columbus, OH
National Provider Identifier
1275538621
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35069155G Issued in OH
Practice address
3705 Olentangy River Rd
Suite 100
Columbus, OH 43214-3467
Phone
(614) 262-6772
Fax
(614) 447-2752
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 35-069155 OH
Cardiovascular Disease Physician 207RC0000X 35069155G OH Primary

Addresses

Primary practice location

3705 Olentangy River Rd
Suite 100
Columbus, OH 43214-3467

Mailing address

5350 Frantz Rd
Dublin, OH 43016-4259

Other identifiers 1

IdentifierTypeStateIssuer
0256306MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pgeorge33766@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040715000210 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9234118142 Reassigns benefits to 1 organization
I20260620000380 IA Practitioner - Cardiovascular Disease (Cardiology) 9234118142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1776 W Lakes Pkwy
Suite 400
West Des Moines, IA 50266-8378

PO Box
Kansas City, MO 64184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35069155GOHMDCardiovascular Disease Physician
35-069155OHMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Cardiovascular Disease CurrentSince Dec 28, 2008 Accepting new patients
Midohio Cardiology and Vascular Consultants, Inc Cardiovascular Disease Current Accepting new patients
Ohiohealth Corporation CurrentSince Dec 28, 2008 Accepting new patients
Licking Memorial Professional Corporation Past Accepting new patients
Somc Medical Care Foundation, Inc. Past Accepting new patients
Central Ohio Primary Care Physicians, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

75 Hospital Dr
Ste 330
Athens, OH 45701
Phone (740) 566-4565

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

Dept L3652
Columbus, OH 43260

3535 Olentangy River Rd
Ste 401
Columbus, OH 43214

3705 Olentangy River Rd
Columbus, OH 43214
Phone (614) 533-6620

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

3705 Olentangy River Rd
Ste 100
Columbus, OH 43214

5350 Frantz Rd
Dublin, OH 43016

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

1805 27th St
Bldg C
Portsmouth, OH 45662

291 W Schrock Rd
Ste B
Westerville, OH 43081
Phone (614) 776-5750

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1275538621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 FRANTZ RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 OLENTANGY RIVER RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143467",
            "telephone_number": "614-262-6772",
            "fax_number": "614-447-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "PETER",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "OH",
            "license": "35-069155",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35069155G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256306",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgeorge33766@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "3705 Olentangy River Rd",
            "address_2": "Ste 100",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.