Individual provider Active NPI

George Shu

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1306104591
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.126615 Issued in OH
Practice address
3555 Olentangy River Rd Ste 1080
Columbus, OH 43214-3984
Phone
(614) 268-8164
Fax
(614) 268-8406
NPI assigned
Apr 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.126615 OH Primary

Addresses

Primary practice location

3555 Olentangy River Rd Ste 1080
Columbus, OH 43214-3984

Mailing address

3555 Olentangy River Rd Ste 1080
Columbus, OH 43214-3984
Phone (614) 268-8164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20151014000221 OH Practitioner - Internal Medicine 0244471134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Primary Care Physicians, Inc. 487 clinicians

Practice addresses (Care Compare)

3555 Olentangy River Rd
Suite 1080
Columbus, OH 43214-3984
Phone (614) 268-8164

Hospital & facility affiliations

  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel New Albany Surgical Hospital Hospital, New Albany, OH, CCN 360266
  • Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
83.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.126615OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Mount Carmel Health System Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

570 Polaris Pkwy
Ste 250
Westerville, OH 43082
Phone (614) 459-0216

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Interoperability endpoints

  • Direct secure messaging: gshu18976@copcp.medicity.net

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 5

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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1306104591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 OLENTANGY RIVER RD STE 1080",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143984",
            "telephone_number": "614-268-8164",
            "fax_number": "614-268-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 OLENTANGY RIVER RD STE 1080",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143984",
            "telephone_number": "614-268-8164",
            "fax_number": "614-268-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHU",
        "first_name": "GEORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.126615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.