Individual provider Active NPI

George S Predeteanu, M.D.

  • Cardiovascular Disease Physician
  • Flint, MI
National Provider Identifier
1417944497
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301060079 Issued in MI
Practice address
5100 Gateway Centre
Flint, MI 48507-3927
Phone
(810) 733-6480
Fax
(810) 733-6483
NPI assigned
Oct 4, 2005
Last updated
May 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301060079 MI Primary

Addresses

Primary practice location

5100 Gateway Centre
Flint, MI 48507-3927

Mailing address

5100 Gateway Centre
Flint, MI 48507-3927
Phone (810) 733-6480

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
I20040503000284 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2668469610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Institute of Michigan PLLCGroup PAC ID 3173510112, 11 clinicians

Practice addresses (Care Compare)

5100 Gateway Centre
Flint, MI 48507-3927

5100 Gateway Ctr
Flint, MI 48507-3927

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301060079MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Institute of Michigan, PLLC Cardiovascular Disease CurrentSince Feb 1, 2004 Accepting new patients

Locations

4040 S Linden Rd
Flint, MI 48507
Phone (810) 230-0120

5100 Gateway Ctr
Flint, MI 48507
Phone (810) 733-0790

Interoperability endpoints

  • Direct secure messaging: gpredeteanu1145022@direct.hfhs.org

Organizations & group practices 1

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1417944497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 GATEWAY CENTRE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073927",
            "telephone_number": "810-733-6480",
            "fax_number": "810-733-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 GATEWAY CENTRE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073927",
            "telephone_number": "810-733-6480",
            "fax_number": "810-733-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREDETEANU",
        "first_name": "GEORGE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301060079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.