Individual provider Active NPI

Avrille B George, MD

  • Infectious Disease Physician
  • Syracuse, NY
National Provider Identifier
1770734782
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
260946 Issued in NY
Practice address
2878 Syracuse
Syracuse, NY 13220
Phone
(877) 279-3511
Fax
(585) 625-3855
NPI assigned
Oct 8, 2008
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 260946 NY Primary

Addresses

Primary practice location

2878 Syracuse
Syracuse, NY 13220

Mailing address

PO Box 2878
Syracuse, NY 13220-2878
Phone (877) 279-3511

Other identifiers 1

IdentifierTypeStateIssuer
03355855MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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
I20110811000019 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 8426227331 Reassigns benefits to 5 organizations
I20150102000152 PA Practitioner - Internal MedicinePractitioner - Infectious Disease 8426227331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

515 Main St
Olean, NY 14760-1513
Phone (877) 279-3511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260946NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Feb 3, 2017 Accepting new patients
Geisinger Clinic Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 31, 2024 Accepting new patients
Geisinger Clinic CurrentSince Dec 1, 2014 Accepting new patients
St Josephs Hospital Health Center CurrentSince Apr 20, 2022 Accepting new patients
Geisinger Clinic CurrentSince Dec 1, 2014 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Feb 3, 2017 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
St Josephs Medical PC CurrentSince Jul 29, 2021 Accepting new patients
North Medical PC Current Accepting new patients

Locations

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

100 N Academy Ave
Danville, PA 17822

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

Organizations & group practices 13

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 13

Hospital & facility affiliations 4

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1770734782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2878",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132202878",
            "telephone_number": "877-279-3511",
            "fax_number": "585-625-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 SYRACUSE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13220",
            "telephone_number": "877-279-3511",
            "fax_number": "585-625-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "AVRILLE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "260946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03355855",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.