Individual provider Active NPI

Georgios A. Hartas, M.D.

  • Pediatric Cardiology Physician
  • Glendale, CA
National Provider Identifier
1750598025
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
145986 Issued in CA
Practice address
411 N Central Ave Ste 250
Glendale, CA 91203-2061
Phone
(818) 839-7101
Fax
(818) 839-7199
NPI assigned
May 17, 2007
Last updated
May 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 145986 CA Primary

Addresses

Primary practice location

411 N Central Ave Ste 250
Glendale, CA 91203-2061

Mailing address

411 N Central Ave Ste 250
Glendale, CA 91203-2061
Phone (818) 839-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210609002284 CA Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 2163673658 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
145986CAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Heart Clinic Single Specialty CurrentSince Feb 13, 2021 Accepting new patients
Reston Hospital Center LLC Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Inova Health Care Services Past Accepting new patients
Inova Health Care Services Single Specialty Past Accepting new patients

Locations

411 N Central Ave
Ste 250
Glendale, CA 91203
Phone (818) 240-2270

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1750598025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N CENTRAL AVE STE 250",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032061",
            "telephone_number": "818-839-7101",
            "fax_number": "818-839-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N CENTRAL AVE STE 250",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032061",
            "telephone_number": "818-839-7101",
            "fax_number": "818-839-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTAS",
        "first_name": "GEORGIOS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "145986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.