Individual provider Active NPI

George Demetrios Fivgas, MD

  • Ophthalmology Physician
  • Baton Rouge, LA
National Provider Identifier
1790787448
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD13263R Issued in LA
Practice address
7777 Hennessy Blvd
Ste 3000
Baton Rouge, LA 70808
Phone
(225) 768-9300
Fax
(225) 768-9363
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 13263R LA
Ophthalmology Physician 207W00000X 041428 GA
Ophthalmology Physician 207W00000X MD13263R LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Ste 3000
Baton Rouge, LA 70808

Mailing address

7777 Hennessy Blvd
Ste 3000
Baton Rouge, LA 70808
Phone (225) 768-9300

Other identifiers 1

IdentifierTypeStateIssuer
1430315MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20060309000440 LA Practitioner - Ophthalmology 1557378965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Emory University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Medical Center ApmcGroup PAC ID 5890783062, 16 clinicians

Practice addresses (Care Compare)

7777 Hennessy Blvd
Suite 3000
Baton Rouge, LA 70808-0302
Phone (225) 766-7441

Merit-based Incentive Payment System (MIPS)

Final score
88.3 of 100Reported as individual
Quality
86.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13263RLAMDOphthalmology Physician
MD13263RLAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Medical Center, Apmc CurrentSince Mar 15, 2006 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Vitreoretinal Institute, a Medical Corporation Past Accepting new patients
The Optical Shoppe Past Accepting new patients

Locations

7777 Hennessy Blvd
Ste 4000
Baton Rouge, LA 70808
Phone (225) 766-7441

7539 Corporate Blvd
Ste 100
Baton Rouge, LA 70809
Phone (225) 216-1400

7777 Hennessy Blvd
Ste 3000
Baton Rouge, LA 70808
Phone (225) 766-7441

1615 SW Railroad Ave
Hammond, LA 70403
Phone (504) 345-0050

Interoperability endpoints

  • Direct secure messaging: gfivgas@emc.direct.eyemdemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1790787448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "STE 3000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-768-9300",
            "fax_number": "225-768-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "STE 3000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-768-9300",
            "fax_number": "225-768-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIVGAS",
        "first_name": "GEORGE",
        "middle_name": "DEMETRIOS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "13263R",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "041428",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD13263R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1430315",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.