Active NPI
George S. Novalis, M.D.
- Retina Specialist (Ophthalmology) Physician
- Tucson, AZ
National Provider Identifier
1821046251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 8416
- Practice address
- 6585 N Oracle Rd
Tucson, AZ 85704-5611 - Phone
- (520) 742-7444
- Fax
- (520) 297-2267
- NPI assigned
- May 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 8416 | AZ | Primary |
Addresses
Primary practice location
6585 N Oracle Rd
Tucson, AZ 85704-5611
Mailing address
6585 N Oracle Rd
Tucson, AZ 85704-5611
Phone (520) 742-7444
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| POP19NOVAGE1 | Other | AZ | MERCY CARE |
| 696591 | Other | AZ | AETNA |
| AZ0376620 | Other | AZ | BLUE CROSS/BLUE SHIELD |
| 221664 | Other | AZ | AHCCCS |
| 0596890006 | Other | AZ | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8416 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1821046251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6585 N ORACLE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857045611",
"telephone_number": "520-742-7444",
"fax_number": "520-297-2267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6585 N ORACLE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857045611",
"telephone_number": "520-742-7444",
"fax_number": "520-297-2267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVALIS",
"first_name": "GEORGE",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "AZ",
"license": "8416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY CARE",
"identifier": "POP19NOVAGE1",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "696591",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "AZ0376620",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "221664",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0596890006",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.