NPIMap

Individual provider Active NPI

George A. Elias, D.O.

  • Family Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1760479208
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012529 Issued in MI
Practice address
27031 W Warren St
Dearborn Heights, MI 48127-1901
Phone
(313) 274-3320
Fax
(313) 730-9222
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101012529 MI Primary

Addresses

Primary practice location

27031 W Warren St
Dearborn Heights, MI 48127-1901

Mailing address

26901 Beaumont Blvd # 3D
Southfield, MI 48033-3849
Phone (947) 522-1952

Other practice location 1

18306 Middlebelt Rd
Livonia, MI 48152-5007
Phone (248) 477-2360

Other identifiers 1

IdentifierTypeStateIssuer
4205599MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gelias5926018@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000578 MI Practitioner - Family Practice 3971637232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

27015 W Warren St
Corewell Health Family Medicine
Dearborn Heights, MI 48127-1901
Phone (313) 278-1982

27031 W Warren St
Corewell Health Family Medicine
Dearborn Heights, MI 48127-1901
Phone (313) 274-3320

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Aug 6, 2023 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Aug 6, 2023 Accepting new patients
Prime Garden City Medical Group Family Medicine Current Accepting new patients
Botsford General Hospital Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

27031 W Warren St
Dearborn Heights, MI 48127
Phone (313) 274-3320

30730 Ford Rd
Garden City, MI 48135
Phone (734) 266-8800

6255 Inkster Rd
Ste 301
Garden City, MI 48135
Phone (248) 477-2360

26901 Beaumont Blvd
#3D
Southfield, MI 48033

Interoperability endpoints

  • Direct secure messaging: gelias1232529@epic00.shdirect.org
  • Direct secure messaging: gelias5926018@direct.beaumont.edu

Organizations & group practices 4

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1760479208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD # 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1952",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27031 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271901",
            "telephone_number": "313-274-3320",
            "fax_number": "313-730-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18306 Middlebelt Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481525007",
            "country_code": "US",
            "telephone_number": "248-477-2360",
            "fax_number": "248-477-8356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "GEORGE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4205599",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gelias5926018@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "27031 W Warren St",
            "city": "Dearborn Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481271901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.