Manju Babu George, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L9613 Issued in TX

Practice address

1917 W Gray St
Houston, TX 77019-4801

Phone

(832) 260-0650

NPI assigned

Sep 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD
• Direct secure messaging: mgeorge501241@memorialhermann.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/4066/brand/1/csg/1/fhir/r4

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.

• Memorial Hermann Urgent Care PLLC

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1730821208
  Medicare reassignment Care Compare group NPD
• Greater Houston Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1316363336
  NPD (past)
• Medspring of Texas, PA

  • Urgent Care Clinic/Center
  • Buda, TX
  • NPI 1629551114
  NPD (past)
• Richmond Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Richmond, TX
  • NPI 1710290051
  NPD (past)
• Southwest Doctors PA

  • Preferred Provider Organization
  • Houston, TX
  • NPI 1871592097
  NPD (past)
• Suncoast Medical Group Inc

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1376810341
  NPD (past)
• Village Chiropractic and Wellness P.L.L.C.

  • Chiropractor
  • League City, TX
  • NPI 1972750719
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1609860618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 HARBOR PASS DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843428",
            "telephone_number": "832-259-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 W GRAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194801",
            "telephone_number": "832-260-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "MANJU",
        "middle_name": "BABU",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9613",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L9613",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179197203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "1609860618",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179197202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8V1564",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1609860618",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth George, NP
• Lethi T George, FNP
• Libby Crenshaw George, M.D.
• Lincy Ann George, PHARMD
• Liza T George, LPC
• Mariamma George, CRT
• Marina George, MD
• Mary Rebecca George, CRNA
• Mary Reeni George, PHD
• Matthews George

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.

Verify at the official NPI Registry.