Individual provider Active NPI

George Peter Tavoulareas, D.O.

  • Neurology Physician
  • Santa Barbara, CA
National Provider Identifier
1427058858
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
200566 Issued in NY
Practice address
7402 Hollister Ave
Santa Barbara, CA 93117-2583
Phone
(805) 562-8686
NPI assigned
Jul 28, 2005
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5101025740 MI
Neurology Physician 2084N0400X 25MB10956800 NJ
Neurology Physician 2084N0400X 67106 CT
Neurology Physician 2084N0400X 20A18544 CA
Neurology Physician 2084N0400X 73913-21 WI
Neurology Physician 2084N0400X 200566 NY Primary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 036154523 IL
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 02006261A IN

Addresses

Primary practice location

7402 Hollister Ave
Santa Barbara, CA 93117-2583

Mailing address

163 77TH St
Brooklyn, NY 11209-2903
Phone (917) 763-4921

Other practice location 1

1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (765) 502-4972

Other identifiers 1

IdentifierTypeStateIssuer
01663767MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI, IN, NJ, AL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20070612000269 NY Practitioner - Neurology 3072619972 Reassigns benefits to 12 organizations
I20200824002327 MI Practitioner - Neurology 3072619972 Reassigns benefits to 1 organization
I20220225001936 IN Practitioner - NeurologyPractitioner - Psychiatry 3072619972 Reassigns benefits to 1 organization
I20220310002727 NJ Practitioner - Neurology 3072619972 Reassigns benefits to 2 organizations
I20230823002861 AL Practitioner - Neurology 3072619972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Philadelphia College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11209
Phone (800) 782-8581

163 77TH St
Brooklyn, NY 11209-2903
Phone (309) 308-9692

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 441-8146

600 E Blvd
Elkhart, IN 46514-2483

600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050

615 N Michigan St
South Bend, IN 46601-1033

615 N Michigan St FL
South Bend, IN 46601-1033

75 W End Ave
Apt C11A Shivanck Upadhyay MD
New York, NY 10023-7861
Phone (309) 308-9692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036154523ILMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
02006261AINMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
20A18544CAMDNeurology Physician
67106CTMDNeurology Physician
25MB10956800NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Dec 9, 2021 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
HSHS Good Shepherd Hospital Inc CurrentSince Nov 7, 2024 Accepting new patients
Covenant Medical Center, Inc Neurology CurrentSince Sep 1, 2020 Accepting new patients
Brooklyn Neurological Associates PC CurrentSince Oct 29, 1985 Accepting new patients
MCHS Hospitals Inc CurrentSince May 1, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 1, 2023 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Stamford Health Medical Group Inc CurrentSince Mar 15, 2023 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Aug 23, 2022 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Aug 23, 2022 Accepting new patients
Franciscan Physician Network CurrentSince Nov 25, 2021 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Aug 15, 2025 Accepting new patients
St Francis Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Oct 8, 2024 Accepting new patients
Beacon Medical Group Inc CurrentSince Feb 1, 2025 Accepting new patients
Valley Physician Services PC CurrentSince Jan 10, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince May 1, 2024 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Aug 15, 2025 Accepting new patients
Covenant Medical Center, Inc Neurology CurrentSince Sep 1, 2020 Accepting new patients
Beacon Medical Group, Inc. Neurology CurrentSince Feb 1, 2025 Accepting new patients
Atlanticare Physician Group CurrentSince Dec 9, 2021 Accepting new patients
Dickinson County Healthcare System Neurology CurrentSince Feb 1, 2026 Accepting new patients
Osf Multi-Specialty Group CurrentSince Apr 1, 2023 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Franciscan Physician Network CurrentSince Nov 25, 2021 Accepting new patients
Schuyler County Hospital District Past Accepting new patients
Thedacare, Incorporated PastSince Jan 1, 2025 Accepting new patients
Memorial Hospital Inc Past Accepting new patients
Your Choice Medical PC Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

124 SW Adams St
Fl 2
Peoria, IL 61602
Phone (309) 655-2850

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

3500 Franciscan Way
Ste 300
Michigan City, IN 46360
Phone (219) 214-4633

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

117 70th St
Brooklyn, NY 11209
Phone (718) 836-8800

3131 Kings Hwy
Ste C1
Brooklyn, NY 11234
Phone (718) 258-2990

Interoperability endpoints

  • Direct secure messaging: georgetavoulareas@mai.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1427058858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092903",
            "telephone_number": "917-763-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931172583",
            "telephone_number": "805-562-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054972",
            "country_code": "US",
            "telephone_number": "765-502-4972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVOULAREAS",
        "first_name": "GEORGE",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101025740",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MB10956800",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "67106",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A18544",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "73913-21",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "200566",
            "primary": true
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "IL",
            "license": "036154523",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "IN",
            "license": "02006261A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01663767",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.