NPIMap

Individual provider Active NPI

George Clements

  • Cardiovascular Disease Physician
  • Vista, CA
National Provider Identifier
1780078600
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A171843 Issued in CA
Practice address
2067 W Vista Way Ste 225
Vista, CA 92083-6001
Phone
(760) 630-2550
NPI assigned
Mar 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X A171843 CA Primary

Addresses

Primary practice location

2067 W Vista Way Ste 225
Vista, CA 92083-6001

Mailing address

2067 W Vista Way Ste 225
Vista, CA 92083-6001
Phone (760) 630-2550

Other practice location 1

22 S Greene St
Room N3E09
Baltimore, MD 21201
Phone (410) 328-6110

Other practice location 2

22 S Greene St
Room N3E09
Baltimore, MD 21201
Phone (410) 328-6110

Other practice location 3

110 S Paca St Fl 7
Baltimore, MD 21201
Phone (410) 328-7877

Other practice location 4

22 S Greene St
Room N3E09
Baltimore, MD 21201
Phone (410) 328-6110

Other practice location 5

22 S Greene St
Room N3E09
Baltimore, MD 21201
Phone (410) 328-6110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220831000074 MD Practitioner - Cardiovascular Disease (Cardiology) 8022316207 Reassigns benefits to 3 organizations
I20240926000391 DC Practitioner - Cardiovascular Disease (Cardiology) 8022316207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Maryland School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Heart Institute LLCGroup PAC ID 5698932960, 308 clinicians
Capitol Cardiologic, LLPGroup PAC ID 0042226201, 15 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

1630 Main St
Suite 208
Chester, MD 21619-2793
Phone (410) 643-3186

2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (410) 573-6480

2002 Medical Pkwy
Annapolis, MD 21401-3046
Phone (410) 573-6480

2002 Medical Pkwy
Suite 500
Annapolis, MD 21401-3268
Phone (410) 573-6480

3333 N Calvert St
Baltimore, MD 21218-2867
Phone (410) 261-8500

4175 N Hanson CT
Bowie, MD 20716-3179
Phone (301) 809-6880

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

Merit-based Incentive Payment System (MIPS)

Final score
79.87 of 100Reported as group
Quality
58.83
Promoting interoperability
100
Improvement activities
40
Cost
74.06

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
66.29
Promoting interoperability
100
Improvement activities
40
Cost
74.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171843CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Cardiologic, LLP Cardiovascular Disease CurrentSince Feb 6, 2024 Accepting new patients
Medstar Heart Institute LLC Cardiovascular Disease CurrentSince Mar 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2025 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
University of Maryland Physicians P.a. PastSince Dec 1, 2019 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3007 Tilden St NW
Ste 5N
Washington, DC 20008

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2002 Medical Pkwy
Ste 520
Annapolis, MD 21401
Phone (410) 266-1188

2002 Medical Pkwy
Annapolis, MD 21401
Phone (443) 481-4915

2002 Medical Pkwy
Ste 500
Annapolis, MD 21401
Phone (410) 573-6480

3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1630 Main St
Ste 208
Chester, MD 21619
Phone (410) 643-3186

110 Thomas Johnson Dr
Frederick, MD 21702
Phone (202) 877-7685

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1780078600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY STE 225",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836001",
            "telephone_number": "760-630-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY STE 225",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836001",
            "telephone_number": "760-630-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_2": "Room N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21201",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St",
            "address_2": "Room N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21201",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 S Paca St Fl 7",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21201",
            "country_code": "US",
            "telephone_number": "410-328-7877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St",
            "address_2": "Room N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21201",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St",
            "address_2": "Room N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21201",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-28",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A171843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.