Individual provider Active NPI

George John Kontos Jr., MD

  • Surgery Physician
  • Silvis, IL
National Provider Identifier
1336137546
Registry record updated Apr 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036-117105 Issued in IL
Practice address
855 Illini Dr
Ste 304
Silvis, IL 61282-2907
Phone
(309) 281-2120
Fax
(309) 281-2129
NPI assigned
Oct 11, 2005
Last updated
Apr 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036-117105 IL Primary

Addresses

Primary practice location

855 Illini Dr
Ste 304
Silvis, IL 61282-2907

Mailing address

855 Illini Dr Ste 304
Silvis, IL 61282-2904
Phone (309) 281-2120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address George.Kontos@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070308000554 IL Practitioner - General SurgeryPractitioner - Vascular SurgeryPractitioner - Thoracic Surgery 6507825684 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-117105ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Mar 26, 2007 Accepting new patients
Central Alabama Thoracic & Cardiovascular Surgery, P. a. Past Accepting new patients
Helena Surgery Associates, PLLC Surgery Past Accepting new patients
Genesis Health System Surgery PastSince Aug 4, 2025 Accepting new patients

Locations

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

855 Illini Dr
Ste 304
Silvis, IL 61282
Phone (309) 281-2120

Interoperability endpoints

  • Direct secure messaging: george.kontos@direct.genesishealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619308800000",
    "number": "1336137546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 ILLINI DR STE 304",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612822904",
            "telephone_number": "309-281-2120",
            "fax_number": "309-281-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ILLINI DR",
            "address_2": "STE 304",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612822907",
            "telephone_number": "309-281-2120",
            "fax_number": "309-281-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONTOS",
        "first_name": "GEORGE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-117105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "George.Kontos@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "855 Illini Dr",
            "address_2": "Ste 304",
            "city": "Silvis",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612822907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silvis, IL

Sources for this page

Verify at the official NPI Registry.