Individual provider Active NPI

Michael George

  • Emergency Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1679527055
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME963210 Issued in FL
Practice address
636 Del Prado Blvd S
Cape Coral, FL 33990-2668
Phone
(239) 772-6513
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME963210 FL Primary

Addresses

Primary practice location

636 Del Prado Blvd S
Cape Coral, FL 33990-2668

Mailing address

6896 W Snowville Rd
Brecksville, OH 44141-3214

Other identifiers 4

IdentifierTypeStateIssuer
297614OtherFLAMERIGROUP
7676789OtherFLAETNA
16946OtherFLFL BCBS
273816300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051021000096 FL Practitioner - Emergency Medicine 1456377464 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Cincinnati College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Ies Florida PLLCGroup PAC ID 8921485004, 45 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4903

2521 Del Prado Blvd N
Cape Coral, FL 33909-4003
Phone (239) 242-1357

Hospital & facility affiliations

  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME963210FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Emergency Medical Physicians PA Emergency Medicine CurrentSince Feb 20, 2013 Accepting new patients
Ies Florida PLLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Port Charlotte HBP Services LLC Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Port Charlotte Hma Physician Management LLC Past Accepting new patients
Port Charlotte Hma Physician Management LLC Past Accepting new patients
All X Ray Diagnostic Services Corp Past Accepting new patients
Cape Coral Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Organizations & group practices 8

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.

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1679527055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6896 W SNOWVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902668",
            "telephone_number": "239-772-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME963210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "297614",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7676789",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BCBS",
            "identifier": "16946",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273816300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.