Individual provider Active NPI

George Christian Stege III, M.D.

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1548284425
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20839 Issued in KY
Practice address
2304 Hurstbourne Village Dr Ste 500
Louisville, KY 40299-1886
Phone
(502) 583-3189
Fax
(502) 581-1463
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20839 KY Primary

Addresses

Primary practice location

2304 Hurstbourne Village Dr Ste 500
Louisville, KY 40299-1886

Mailing address

2304 Hurstbourne Village Dr Ste 500
Louisville, KY 40299-1886
Phone (502) 583-3189

Other identifiers 1

IdentifierTypeStateIssuer
64208390MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20090202000169 KY Practitioner - Family Practice 7719954460 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2304 Hurstbourne Village Dr
Louisville, KY 40299-1886
Phone (502) 584-1061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20839KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care United LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: george.stege.1@22403.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1548284425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 HURSTBOURNE VILLAGE DR STE 500",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991886",
            "telephone_number": "502-583-3189",
            "fax_number": "502-581-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 HURSTBOURNE VILLAGE DR STE 500",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991886",
            "telephone_number": "502-583-3189",
            "fax_number": "502-581-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGE",
        "first_name": "GEORGE",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "20839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64208390",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.