Active NPI
Gueorgui D Gueorguiev, MD
- Critical Access Hospital
- Morrison, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- Practice address
- 303N Jackson St
Morrison, IL 61270-3042 - Phone
- (815) 772-4003
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | IL | Primary | |
| Family Medicine Physician | 207Q00000X | 036124145 | IL |
Addresses
Primary practice location
303N Jackson St
Morrison, IL 61270-3042
Mailing address
303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003
Other names 1
- George D Georgiev
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090827000652 | IL | Practitioner - Family Practice | 5294880266 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morrison Community Hospital District
Practice addresses (Care Compare)
303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003
Hospital & facility affiliations
- Morrison Community Hospital
- Osf Saint Elizabeth MDL Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrison Community Hospital District | Family Medicine | Current | Accepting new patients |
| Morrison Community Hospital District | Critical Access | Current | Accepting new patients |
| Morrison Community Hospital District | Critical Access | Current | Accepting new patients |
| Morrison Community Hospital District | Family Medicine | Current | Accepting new patients |
| Morrison Community Hospital District | Critical Access | Past | Accepting new patients |
Locations
657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003
303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003
Interoperability endpoints
- gueorguigueorguiev@mchospital.medalliesdirect.net
- ggueorguiev@mchstaff.securechart.com
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Morrison, IL
- NPI 1184844938
Critical Access, IL
-
- Family Medicine Physician
- Morrison, IL
- NPI 1700907250
Family Medicine, IL
-
- Critical Access Hospital
- Morrison, IL
- NPI 1891816344
Critical Access, IL
-
- Rural Health Clinic/Center
- Morrison, IL
- NPI 1174644629
Critical Access
-
- Rural Health Clinic/Center
- Erie, IL
- NPI 1992497168
-
- Multi-Specialty Clinic/Center
- Davenport, IA
- NPI 1407463649
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1790719243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N JACKSON ST",
"city": "MORRISON",
"state": "IL",
"postal_code": "612703042",
"telephone_number": "815-772-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303N JACKSON ST",
"city": "MORRISON",
"state": "IL",
"postal_code": "612703042",
"telephone_number": "815-772-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEORGUIEV",
"first_name": "GUEORGUI",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036124145",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGE",
"last_name": "GEORGIEV",
"middle_name": "D",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Morrison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.