Individual provider Active NPI

Jeannine Erika George, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Ellicott City, MD
National Provider Identifier
1528039161
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01417 Issued in MD
Practice address
3450 Ellicott Center Dr Ste 105
Ellicott City, MD 21043-4666
Phone
(301) 905-2334
Fax
(410) 869-4149
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01417 MD
Foot & Ankle Surgery Podiatrist 213ES0103X 01417 MD Primary

Addresses

Primary practice location

3450 Ellicott Center Dr Ste 105
Ellicott City, MD 21043-4666

Mailing address

PO Box 2155
Ellicott City
Ellicott City, MD 21041-2155
Phone (410) 869-4147

Other identifiers 1

IdentifierTypeStateIssuer
408339300MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL email Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050517000707 MD Practitioner - Podiatry 4981645272 Reassigns benefits to 2 organizations
I20050916000265 DC Practitioner - Podiatry 4981645272

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Medical Center IncGroup PAC ID 0446216832, 10 clinicians

Practice addresses (Care Compare)

2000 W Baltimore St
Baltimore, MD 21223-1558
Phone (410) 362-3000

3450 Ellicott Ctr Dr
Suite 105
Ellicott City, MD 21043-4666
Phone (410) 203-2807

Hospital & facility affiliations

  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
90.73
Promoting interoperability
100
Improvement activities
40
Cost
72.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue451
Removal or shaving of skin growth220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Center, Inc. CurrentSince Oct 5, 2019 Accepting new patients
Grace Medical Center, Inc. CurrentSince Oct 5, 2019 Accepting new patients
Grace Medical Center, Inc. Current Accepting new patients
Jeannine E. George DPM PC. Foot & Ankle Surgery CurrentSince Jan 10, 2012 Accepting new patients
Jeannine George-Richardson, DPM CurrentSince Dec 1, 2005 Accepting new patients
Polun Family Footcare P C PastSince Dec 1, 2010 Accepting new patients
Premier Podiatry of Virginia LLC Past Accepting new patients
Home Physicians Baltimore, PC Past Accepting new patients
Saint Elizabeths Hospital PastSince Oct 1, 2019 Accepting new patients
Clinical Outcome Improvement Medicine, LLC PastSince May 1, 2011 Accepting new patients
Professional Management Services, LLC Past Accepting new patients
Polun American Surgery Center, PC Past Accepting new patients
Grace Medical Center, Inc. Past Accepting new patients
Professional Management Services, LLC Past Accepting new patients
DRS. Batz & Weiner Past Accepting new patients
Nurse Practitioners and Consultants P C Past Accepting new patients

Locations

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

2000 W Baltimore St
Ste 3100
Baltimore, MD 21223
Phone (410) 362-3400

3450 Ellicott Center Dr
Ste 105
Ellicott City, MD 21043
Phone (410) 203-2807

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1528039161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2155",
            "address_2": "ELLICOTT CITY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210412155",
            "telephone_number": "410-869-4147",
            "fax_number": "410-869-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ELLICOTT CENTER DR STE 105",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434666",
            "telephone_number": "301-905-2334",
            "fax_number": "410-869-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JEANNINE",
        "middle_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "01417",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408339300",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "3450 Ellicott Center Dr Ste 105",
            "city": "Ellicott City",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210434666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.