Active NPI
Minu Mathew George, M.D.
- Pediatric Endocrinology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 27866
- Practice address
- 1200 N Phillips Ave
Suite 4500
Oklahoma City, OK 73104-4600 - Phone
- (405) 271-6764
- Fax
- (405) 271-3093
- NPI assigned
- Mar 26, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 246671-1 | NY | |
| Pediatric Endocrinology Physician | 2080P0205X | 27866 | OK | Primary |
Addresses
Primary practice location
1200 N Phillips Ave
Suite 4500
Oklahoma City, OK 73104-4600
Mailing address
1200 N Phillips Ave
Suite 4500
Oklahoma City, OK 73104-4600
Phone (405) 271-6764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200100850A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 53.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246671-1 | NY | MD | Home Health Registered Nurse |
| 27866 | OK | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
1200 N Phillips Ave
Ste 4500
Oklahoma City, OK 73104
Phone (405) 271-2006
4205 McAuley Blvd
Ste 380
Oklahoma City, OK 73120
Phone (405) 752-3018
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
1200 Childrens Ave
#4D
Oklahoma City, OK 73104
1200 Childrens Ave
Ste 4D
Oklahoma City, OK 73104
Phone (405) 271-6764
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Multi-Specialty Clinic/Center
- Edmond, OK
- NPI 1124646971
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1801068234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N PHILLIPS AVE",
"address_2": "SUITE 4500",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044600",
"telephone_number": "405-271-6764",
"fax_number": "405-271-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N PHILLIPS AVE",
"address_2": "SUITE 4500",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044600",
"telephone_number": "405-271-6764",
"fax_number": "405-271-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "MINU",
"middle_name": "MATHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-26",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "246671-1",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "OK",
"license": "27866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200100850A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.