Active NPI
Imad Michael George, M.D
- Internal Medicine Physician
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301047531
- Practice address
- 28000 Joy Rd
Livonia, MI 48150-4137 - Phone
- (734) 513-8050
- Fax
- (734) 513-6357
- NPI assigned
- Oct 24, 2005
- Last updated
- Dec 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301047531 | MI | Primary |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 4301047531 | MI |
Addresses
Primary practice location
28000 Joy Rd
Livonia, MI 48150-4137
Mailing address
28000 Joy Rd
Livonia, MI 48150-4137
Phone (734) 513-8050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700H273300 | Other | MI | BCBSM |
| 1346230182 | Medicaid | MI |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Wayne State University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
28000 Joy Rd
Livonia, MI 48150-4137
Phone (734) 513-8050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301047531 | MI | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Brighton Center for Recovery | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Internal Medicine | Current | Accepting new patients |
| Michigan Healthcare Professionals PC | Current | Accepting new patients |
Locations
12851 Grand River Rd
Brighton, MI 48116
Phone (810) 225-2506
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
32255 Northwestern Hwy
Ste 100
Farmington Hills, MI 48334
Phone (248) 945-0000
28000 Joy Rd
Livonia, MI 48150
Phone (734) 513-6357
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
Interoperability endpoints
- igeorge1129828@direct.hfhs.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Substance Abuse Rehabilitation Facility
- Brighton, MI
- NPI 1265527337
-
dba Urology Specialist of Michigan
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Garden City Hospital
- General Acute Care Hospital
- Garden City, MI
- NPI 1043625940
-
dba University of Michigan Health System
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1346230182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28000 JOY RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481504137",
"telephone_number": "734-513-8050",
"fax_number": "734-513-6357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28000 JOY RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481504137",
"telephone_number": "734-513-8050",
"fax_number": "734-513-6357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "IMAD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301047531",
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "MI",
"license": "4301047531",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "700H273300",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346230182",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.