Individual provider Active NPI

George C Parides, DO

  • Pulmonary Disease Physician
  • Mesa, AZ
National Provider Identifier
1851379879
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
1938 Issued in AZ
Practice address
3638 E Southern Ave
Ste C 108
Mesa, AZ 85206-2563
Phone
(480) 834-0771
Fax
(480) 834-1136
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 1938 AZ Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 1938 AZ

Addresses

Primary practice location

3638 E Southern Ave
Ste C 108
Mesa, AZ 85206-2563

Mailing address

3638 E Southern Ave
Ste C 108
Mesa, AZ 85206-2563
Phone (480) 834-0771

Other identifiers 1

IdentifierTypeStateIssuer
270645MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080325000044 AZ Practitioner - Pulmonary Disease 5890744023 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arizona Medical Associates PC Pulmonary Disease CurrentSince Jul 1, 1983 Accepting new patients
Central Arizona Gastroenterology PC PastSince Mar 30, 2025 Accepting new patients

Locations

3638 E Southern Ave
Ste C108
Mesa, AZ 85206
Phone (480) 834-0771

600 E University Dr
Mesa, AZ 85203
Phone (480) 610-5100

5151 E Broadway Rd
Ste 107
Mesa, AZ 85206
Phone (480) 290-7000

334 W 10th Pl
Ste 100
Mesa, AZ 85201
Phone (480) 834-0771

Interoperability endpoints

  • Direct secure messaging: george.parides.p1@direct.camavmed.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1851379879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3638 E SOUTHERN AVE",
            "address_2": "STE C 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062563",
            "telephone_number": "480-834-0771",
            "fax_number": "480-834-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3638 E SOUTHERN AVE",
            "address_2": "STE C 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062563",
            "telephone_number": "480-834-0771",
            "fax_number": "480-834-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIDES",
        "first_name": "GEORGE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "1938",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "1938",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270645",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.