NPIMap

Individual provider Active NPI

George F Birks, M.D.

  • Internal Medicine Physician
  • Pueblo, CO
National Provider Identifier
1659338499
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35413 Issued in CO
Practice address
1925 E Orman Ave
A535
Pueblo, CO 81004-3537
Phone
(719) 564-0450
Fax
(719) 564-1659
NPI assigned
Apr 26, 2006
Last updated
Mar 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35413 CO Primary

Addresses

Primary practice location

1925 E Orman Ave
A535
Pueblo, CO 81004-3537

Mailing address

1925 E Orman Ave
A535
Pueblo, CO 81004-3537
Phone (719) 564-0450

Other identifiers 1

IdentifierTypeStateIssuer
01354133MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000452 CO Practitioner - Internal Medicine 0648215590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New Mexico School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heritage Internal Medicine, PCGroup PAC ID 9032192463, 2 clinicians

Practice addresses (Care Compare)

1925 E Orman Ave
Suite A345
Pueblo, CO 81004-3558
Phone (719) 564-0450

1925 E Orman Ave
Suite A535
Pueblo, CO 81004-3559

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

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
35413COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Internal Medicine, PC Internal Medicine CurrentSince Jul 1, 2011 Accepting new patients
Melchor Sipalay MD LLC Internal Medicine Past Accepting new patients
Trinidad Area Health Association Internal Medicine Past Accepting new patients
Hospitalists of Pueblo Past Accepting new patients

Locations

1925 E Orman Ave
Ste A345
Pueblo, CO 81004
Phone (719) 557-3501

1925 E Orman Ave
Ste A535
Pueblo, CO 81004
Phone (719) 564-0450

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1659338499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E ORMAN AVE",
            "address_2": "A535",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043537",
            "telephone_number": "719-564-0450",
            "fax_number": "719-564-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E ORMAN AVE",
            "address_2": "A535",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043537",
            "telephone_number": "719-564-0450",
            "fax_number": "719-564-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKS",
        "first_name": "GEORGE",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "35413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01354133",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.