Individual provider Active NPI

Imad Michael George, M.D

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1346230182
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301047531 Issued in MI
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
700H273300OtherMIBCBSM
1346230182MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000325 MI Practitioner - Internal MedicinePractitioner - Addiction Medicine 0143132589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction 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

LicenseStateTypeSpecialty
4301047531MIMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Brighton Center for Recovery CurrentSince Sep 17, 2011 Accepting new patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Nov 1, 2011 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.