Individual provider Active NPI

George Brian Gennaoui, D.O

  • Rheumatology Physician
  • Dearborn, MI
National Provider Identifier
1861928681
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
5101027962 Issued in MI
Practice address
4700 Schaefer Rd Ste 270
Dearborn, MI 48126-3743
Phone
(947) 523-4670
Fax
(313) 943-2915
NPI assigned
May 11, 2017
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 79972 MN
Rheumatology Physician 207RR0500X 02008468A IN
Rheumatology Physician 207RR0500X 5101027962 MI Primary
Rheumatology Physician 207RR0500X 34.015633 OH

Addresses

Primary practice location

4700 Schaefer Rd Ste 270
Dearborn, MI 48126-3743

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

200 Elm ST N
Onamia, MN 56359-7901
Phone (320) 532-3154

Other practice location 2

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ggennaoui3387183@epic00.corewelldirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MN, MI, IN, LA, DE6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20220718002635 OH Practitioner - Rheumatology 8224305099
I20250820001561 MN Practitioner - RheumatologyPractitioner - Internal Medicine 8224305099 Reassigns benefits to 5 organizations
I20251001001283 MI Practitioner - Rheumatology 8224305099 Reassigns benefits to 3 organizations
I20251217004596 IN Practitioner - Rheumatology 8224305099 Reassigns benefits to 1 organization
I20251218004095 LA Practitioner - Rheumatology 8224305099 Reassigns benefits to 3 organizations
I20260428001287 DE Practitioner - Rheumatology 8224305099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians
Perry County Memorial HospitalGroup PAC ID 6901871276, 28 clinicians

Practice addresses (Care Compare)

18101 Oakwood Blvd
Dearborn, MI 48124-4089

28100 Grand River Ave
Farmington Hills, MI 48336-5970

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-7130

4700 Schaefer Rd
Suite 260
Dearborn, MI 48126-3743
Phone (248) 551-1515

501 W 14TH St Wilmington Hospital
CCHS Rheumatology
Wilmington, DE 19801-1013
Phone (302) 320-2490

8885 State Rd
Suite 237
Tell City, IN 47586-8567
Phone (812) 547-7011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101027962MIMDRheumatology Physician
34.015633OHMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
The Hospital Service District of West Feliciana Parish Louisiana CurrentSince Dec 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
West Ascension Parish Hospital Service District CurrentSince Dec 1, 2025 Accepting new patients
Mille Lacs Health System Current Accepting new patients
Allina Health System CurrentSince Sep 1, 2025 Accepting new patients
Mille Lacs Health System CurrentSince Jan 23, 2026 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Nov 9, 2025 Accepting new patients
Mille Lacs Health System CurrentSince Jan 23, 2026 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Sep 15, 2025 Accepting new patients
Healtheast Medical Research Insititue CurrentSince Nov 9, 2025 Accepting new patients
Mille Lacs Health System Current Accepting new patients
Perry County Memorial Hospital Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Perry County Memorial Hospital CurrentSince Dec 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Nov 9, 2025 Accepting new patients
West Ascension Parish Hospital Service District CurrentSince Dec 1, 2025 Accepting new patients
Mille Lacs Health System CurrentSince Jan 23, 2026 Accepting new patients
The Hospital Service District of West Feliciana Parish Louisiana CurrentSince Dec 1, 2025 Accepting new patients
Allina Health System Rheumatology CurrentSince Sep 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Nov 9, 2025 Accepting new patients
Oakwood Ambulatory LLC Internal Medicine Past Accepting new patients
Oakwood Healthcare Inc PastSince Sep 21, 2025 Accepting new patients
St. John Hospital & Medical Center PastSince Jul 1, 2020 Accepting new patients
NPI 1083910871 Past Accepting new patients
Arthritis Associates of Northwest Ohio Rheumatology PastSince Mar 24, 2025 Accepting new patients

Locations

148 13th St
Tell City, IN 47586
Phone (812) 547-0333

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

5266 Commerce St
Bldg A
Saint Francisville, LA 70775
Phone (225) 635-2441

5266 Commerce St
Bldg B
Saint Francisville, LA 70775
Phone (225) 635-2439

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

27378 State Highway 18
Garrison, MN 56450
Phone (320) 692-5599

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

Interoperability endpoints

  • Direct secure messaging: george.gennaoui.1@21400.direct.athenahealth.com
  • Direct secure messaging: ggennaoui3387183@epic00.corewelldirect.org
  • Direct secure messaging: ggennaoui754787@direct.hfhs.org

Organizations & group practices 28

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 28

Hospital & facility affiliations 6

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1861928681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SCHAEFER RD STE 270",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263743",
            "telephone_number": "947-523-4670",
            "fax_number": "313-943-2915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Elm ST N",
            "address_purpose": "LOCATION",
            "city": "Onamia",
            "state": "MN",
            "postal_code": "563597901",
            "country_code": "US",
            "telephone_number": "320-532-3154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 Coon Rapids Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554332522",
            "country_code": "US",
            "telephone_number": "763-236-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENNAOUI",
        "first_name": "GEORGE",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MN",
            "license": "79972",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "02008468A",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "5101027962",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "34.015633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggennaoui3387183@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "4700 Schaefer Rd Ste 270",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481263743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.