Individual provider Active NPI

Bijo George

  • Family Nurse Practitioner
  • Texas City, TX
National Provider Identifier
1821404831
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125961 Issued in TX
Practice address
6807 Emmett F Lowry Expy Ste 310
Texas City, TX 77591-2548
Phone
(409) 908-9345
NPI assigned
Jul 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125961 TX Primary

Addresses

Primary practice location

6807 Emmett F Lowry Expy Ste 310
Texas City, TX 77591-2548

Mailing address

4630 Sawmill LN
Pasadena, TX 77505-5526
Phone (832) 763-1036

Other identifiers 1

IdentifierTypeStateIssuer
AP125961OtherTXTEXAS BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141104002183 TX Practitioner - Nurse Practitioner 5092937276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nehme Alkarra MD PAGroup PAC ID 0446207948, 5 clinicians
All Care Team PLLCGroup PAC ID 6800286857, 5 clinicians

Practice addresses (Care Compare)

1455 FM 646 Rd W
Suite 202
Dickinson, TX 77539-2039
Phone (832) 738-1710

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP125961TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nehme Alkarra MD PA CurrentSince Jul 9, 2014 Accepting new patients
All Care Team PLLC CurrentSince Jan 1, 2022 Accepting new patients
Androderm X LLC Past Accepting new patients

Locations

1455 FM 646 Rd W
Ste 202
Texas City, TX 77539
Phone (832) 738-1710

6807 Emmett F Lowry Expy
Ste 310
Texas City, TX 77591
Phone (409) 908-9345

Organizations & group practices 3

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 1

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1821404831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 SAWMILL LN",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775055526",
            "telephone_number": "832-763-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 EMMETT F LOWRY EXPY STE 310",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912548",
            "telephone_number": "409-908-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "BIJO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP125961",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.