Individual provider Active NPI

Camille Jacob George, M.D.

  • Orthopaedic Surgery Physician
  • Houston, TX
National Provider Identifier
1700979853
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J4817 Issued in TX
Practice address
4126 Southwest Freeway
Suite 300
Houston, TX 77027-7316
Phone
(713) 572-0030
Fax
(713) 572-0040
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X J4817 TX
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X J4817 TX
Orthopaedic Hand Surgery Physician 207XS0106X J4817 TX
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X J4817 TX
Orthopaedic Surgery of the Spine Physician 207XS0117X J4817 TX
Orthopaedic Surgery Physician 207X00000X J4817 TX Primary

Addresses

Primary practice location

4126 Southwest Freeway
Suite 300
Houston, TX 77027-7316

Mailing address

4126 Southwest Fwy Ste 800
Houston, TX 77027-7216
Phone (713) 572-0030

Other identifiers 3

IdentifierTypeStateIssuer
5470210OtherTXAETNA
80620GOtherTXBLUE CROSS
0373904-01MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120504000510 TX Practitioner - Orthopedic Surgery 9537171558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4126 Southwest Fwy
Suite 800
Houston, TX 77027-7216
Phone (713) 572-0030

4126 Southwest Fwy
Suite 800
Houston, TX 77027-7316

Hospital & facility affiliations

  • HCA Houston Healthcare Medical Center Hospital, Houston, TX, CCN 450659
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)15
Upper limb (arm) arthroscopy (minimally invasive joint repair)13
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4817TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Orthopedic and Sports Medicine Center PA Orthopaedic Surgery CurrentSince Dec 30, 1993 Accepting new patients
Christopher Merkl MD PA Past Accepting new patients

Locations

4126 Southwest Fwy
Ste 800
Houston, TX 77027
Phone (713) 572-0030

Interoperability endpoints

  • Direct secure messaging: camille.george.1@13131.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1700979853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FWY STE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277216",
            "telephone_number": "713-572-0030",
            "fax_number": "713-572-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FREEWAY",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277316",
            "telephone_number": "713-572-0030",
            "fax_number": "713-572-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "CAMILLE",
        "middle_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "J4817",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "TX",
            "license": "J4817",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "J4817",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": "J4817",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "J4817",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J4817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5470210",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "80620G",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0373904-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.