Active NPI
George Peter Tavoulareas, D.O.
- Neurology Physician
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 200566
- Practice address
- 7402 Hollister Ave
Santa Barbara, CA 93117-2583 - Phone
- (805) 562-8686
- NPI assigned
- Jul 28, 2005
- Last updated
- Dec 21, 2021
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01663767 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MI, IN, NJ, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036154523 | IL | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| 02006261A | IN | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| 20A18544 | CA | MD | Neurology Physician |
| 67106 | CT | MD | Neurology Physician |
| 25MB10956800 | NJ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| HSHS Good Shepherd Hospital Inc | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Neurology | Current | Accepting new patients |
| Brooklyn Neurological Associates PC | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| Stamford Health Medical Group Inc | Current | Accepting new patients | |
| St Johns Hospital of the Hospital Sisters of the Third Order of St F | Current | Accepting new patients | |
| St Johns Hospital of the Hospital Sisters of the Third Order of St F | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Current | Accepting new patients | |
| St Francis Hospital of the Hospital Sisters of the Third Order of St F | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Valley Physician Services PC | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Neurology | Current | Accepting new patients |
| Beacon Medical Group, Inc. | Neurology | Current | Accepting new patients |
| Atlanticare Physician Group | Current | Accepting new patients | |
| Dickinson County Healthcare System | Neurology | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Schuyler County Hospital District | Past | Accepting new patients | |
| Thedacare, Incorporated | Past | 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
- georgetavoulareas@mai.allscriptsdirect.net
- 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.
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
dba Beacon Medical Group Schwartz - Wiekamp
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Specialist
- Brooklyn, NY
- NPI 1083721229
-
dba Covenant HealthCare
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
dba Marshfield Medical Center - Dickinson Professional Services
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
Neurology, NY
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
NY
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1184606923
NY
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.