Active NPI
Valal K George, M.D.
- Urology Physician
- St Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4301066284
- Practice address
- 20952 E 12 Mile Rd
Suite 200
St Clair Shores, MI 48081-3200 - Phone
- (586) 771-4820
- Fax
- (586) 771-6620
- NPI assigned
- Apr 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 4301066284 | MI | Primary |
Addresses
Primary practice location
20952 E 12 Mile Rd
Suite 200
St Clair Shores, MI 48081-3200
Mailing address
20952 E 12 Mile Rd
Suite 200
St Clair Shores, MI 48081-3200
Phone (586) 771-4820
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7822183 | Other | MI | CIGNA |
| H39856 | Other | MI | HAP |
| 132838 | Other | MI | PRIORITY HEALTH |
| P00061107 | Other | MI | RAILROAD MEDICARE |
| 7847331 | Other | MI | AETNA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Macomb | Urology | Current | Accepting new patients |
| Michigan Institute of Urology PC | Urology | Current | Accepting new patients |
| Alliance Physician Services of Michigan, P.C. | Urology | Current | Accepting new patients |
| Grosse Pointe Urologic Surgeons | Urology | Past | Accepting new patients |
Locations
37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911
4150 S River Rd
Ste C
East China, MI 48054
Phone (576) 771-4820
20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820
11051 Hall Rd
Ste 200
Utica, MI 48317
Phone (586) 254-5759
Interoperability endpoints
- vgeorge63328@direct.hfhs.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- St Clair Shores, MI
- NPI 1427027416
-
- Durable Medical Equipment & Medical Supplies
- Utica, MI
- NPI 1922999051
Urology
-
- Urology Physician
- Roseville, MI
- NPI 1558319921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1528023892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20952 E 12 MILE RD",
"address_2": "SUITE 200",
"city": "ST CLAIR SHORES",
"state": "MI",
"postal_code": "480813200",
"telephone_number": "586-771-4820",
"fax_number": "586-771-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20952 E 12 MILE RD",
"address_2": "SUITE 200",
"city": "ST CLAIR SHORES",
"state": "MI",
"postal_code": "480813200",
"telephone_number": "586-771-4820",
"fax_number": "586-771-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "VALAL",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "4301066284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7822183",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "H39856",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "132838",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00061107",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7847331",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.