Individual provider Active NPI

George Makdisi, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tucson, AZ
National Provider Identifier
1295960524
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
66589 Issued in AZ
Practice address
2404 E River Rd Ste 100
Tucson, AZ 85718-6521
Phone
(520) 838-3540
Fax
(520) 325-3526
NPI assigned
May 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 50938 KY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME125990 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 66589 AZ Primary

Addresses

Primary practice location

2404 E River Rd Ste 100
Tucson, AZ 85718-6521

Mailing address

555 E River Rd Ste 101
Tucson, AZ 85704-5843
Phone (520) 838-3540

Other identifiers 6

IdentifierTypeStateIssuer
50938OtherKYKENTUCKY LICENSE
ENROLLEDMedicaidMN
020425000MedicaidFL
158869MedicaidAZ
Q50BTOtherFLBLUE CROSS AND BLUE SHIELD
Q50BTOtherFLBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address george.makdisi.p1@direct.pimaheart.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220711001444 AZ Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1951572510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pima Heart Physicians PCGroup PAC ID 6507751294, shared by 2 NPIs, 65 clinicians
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

2404 E River Rd BLDG
2 Suite 100
Tucson, AZ 85718-6522
Phone (520) 838-3540

4475 S I 19 Frontage Rd
Suite 125
Green Valley, AZ 85614-6336
Phone (520) 838-3540

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-4230

Hospital & facility affiliations

  • Haven Home Health Care Home health agency, Tucson, AZ, CCN 037494
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
83.77
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)38
Pacemaker insertion or repair1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pima Heart Physicians, PC CurrentSince Aug 1, 2022 Accepting new patients
Tampa General Hospital Current Accepting new patients
TMC Medical Network CurrentSince Dec 17, 2025 Accepting new patients
Pima Heart Physicians, PC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 1, 2022 Accepting new patients
Pima Heart Physicians, PC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
University Medical Service Association Inc PastSince Nov 1, 2019 Accepting new patients
Pima Heart ASC LLC Past Accepting new patients

Locations

4475 S I 19 Frontage Rd
Ste 125
Green Valley, AZ 85614

480 N Morley Ave
Nogales, AZ 85621
Phone (520) 287-2726

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

555 E River Rd
Ste 101
Tucson, AZ 85704

5755 S Houghton Rd
Tucson, AZ 85747
Phone (520) 324-1727

2404 E River Rd
Tucson, AZ 85718
Phone (520) 408-9868

2404 E River Rd
Ste 100
Tucson, AZ 85718
Phone (520) 585-5796

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

3709 N Campbell Ave
Ste 201
Tucson, AZ 85719

2141 N Beverly Ave
Ste 101
Tucson, AZ 85712
Phone (520) 324-6290

4729 E Camp Lowell Dr
Tucson, AZ 85712

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gmakdisi158220@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: george.makdisi@ushv.eclinicaldirectplus.com

Organizations & group practices 7

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 4

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": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1295960524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E RIVER RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045843",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 E RIVER RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186521",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKDISI",
        "first_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-15",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "50938",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME125990",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "66589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY LICENSE",
            "identifier": "50938",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020425000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158869",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "Q50BT",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Q50BT",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "george.makdisi.p1@direct.pimaheart.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2404 E River Rd Ste 100",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857186521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.