Individual provider Active NPI

George Charles Hajjar Jr., M.D.

  • Internal Medicine Physician
  • Lanham, MD
National Provider Identifier
1689683856
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D39550 Issued in MD
Practice address
4850 Forbes Blvd
Suite D
Lanham, MD 20706-4318
Phone
(301) 459-5667
Fax
(301) 459-7059
NPI assigned
Aug 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 D39550 MD Primary

Addresses

Primary practice location

4850 Forbes Blvd
Suite D
Lanham, MD 20706-4318

Mailing address

4850 Forbes Blvd
Suite D
Lanham, MD 20706-4318
Phone (301) 459-5667

Other identifiers 1

IdentifierTypeStateIssuer
557191000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20100707000564 DC Practitioner - Internal Medicine 7315078326 Practice locations: Lanham, MD

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Pennsylvania, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4850 Forbes Blvd
Suite D
Lanham, MD 20706-4882
Phone (301) 459-5667

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D39550MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bediccaa Medical Services PastSince May 7, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689683856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 FORBES BLVD",
            "address_2": "SUITE D",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064318",
            "telephone_number": "301-459-5667",
            "fax_number": "301-459-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 FORBES BLVD",
            "address_2": "SUITE D",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064318",
            "telephone_number": "301-459-5667",
            "fax_number": "301-459-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJJAR",
        "first_name": "GEORGE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D39550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557191000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.