Individual provider Active NPI

George Y. Paik, MD

  • Interventional Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1740266550
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
30671 Issued in AZ
Practice address
1910 E Thomas Rd Ste 200
Phoenix, AZ 85016-7767
Phone
(602) 266-2200
Fax
(602) 604-5046
NPI assigned
Dec 22, 2005
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 30671 AZ
Cardiovascular Disease Physician 207RC0000X DR.34718 CO
Interventional Cardiology Physician 207RI0011X DR.0034718 CO
Interventional Cardiology Physician 207RI0011X 30671 AZ Primary

Addresses

Primary practice location

1910 E Thomas Rd Ste 200
Phoenix, AZ 85016-7767

Mailing address

1910 E Thomas Rd Ste 200
Phoenix, AZ 85016-7767
Phone (602) 266-2200

Other identifiers 1

IdentifierTypeStateIssuer
722810MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100824000729 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 8729102082 Reassigns benefits to 2 organizations
I20161206002390 CO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8729102082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montrose Memorial Hospital, IncGroup PAC ID 1658272992, 148 clinicians
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

300 S Nevada Ave
MRH Cardiology Center
Montrose, CO 81401-4273
Phone (970) 240-7132

3811 E Bell Rd
Suite 300
Phoenix, AZ 85032-2160
Phone (602) 266-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.34718COMDCardiovascular Disease Physician
30671AZMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 10, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC Cardiovascular Disease Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 10, 2020 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Nov 1, 2022 Accepting new patients
Flagstaff Pathology Associates Current Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Jan 8, 2026 Accepting new patients
Northern Arizona Healthcare Corporation Cardiovascular Disease CurrentSince Nov 1, 2022 Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Jan 8, 2026 Accepting new patients
Portercare Adventist Health System CurrentSince Apr 1, 2017 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Dec 23, 2022 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Dec 23, 2022 Accepting new patients
Portercare Adventist Health System CurrentSince Apr 1, 2017 Accepting new patients
Mountain View Cardiology PC Cardiovascular Disease Past Accepting new patients
Scottsdale Heart Group Cardiovascular Disease Past Accepting new patients

Locations

3125 N Dysart Rd
Avondale, AZ 85392
Phone (623) 882-9161

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

1325 N Litchfield Rd
Ste 125
Goodyear, AZ 85395
Phone (480) 420-0749

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1910 E Thomas Rd
Ste 200
Phoenix, AZ 85016

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3811 E Bell Rd
Ste 300
Phoenix, AZ 85032
Phone (480) 454-7350

6036 N 19th Ave
Ste 505
Phoenix, AZ 85015
Phone (602) 249-0839

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

519 Rose Ln
Wickenburg, AZ 85390
Phone (844) 888-0408

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

90 Health Park Dr
Ste 350
Louisville, CO 80027
Phone (303) 666-7560

300 S Nevada Ave
Montrose, CO 81401
Phone (970) 252-1020

Interoperability endpoints

  • Direct secure messaging: george.paik.1@600.direct.athenahealth.com
  • Direct secure messaging: georgepaik@cvc.allscriptsdirect.net

Organizations & group practices 16

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.

View all 16

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1740266550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E THOMAS RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167767",
            "telephone_number": "602-266-2200",
            "fax_number": "602-604-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E THOMAS RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167767",
            "telephone_number": "602-266-2200",
            "fax_number": "602-604-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIK",
        "first_name": "GEORGE",
        "middle_name": "Y.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "30671",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "DR.34718",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "DR.0034718",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "30671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "722810",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.