Individual provider Active NPI

John M George, M.D.

  • Interventional Cardiology Physician
  • Richardson, TX
National Provider Identifier
1891798856
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
P7636 Issued in TX
Practice address
2821 E President George Bush Hwy
Suite 505
Richardson, TX 75082-4266
Phone
(214) 943-1191
Fax
(214) 599-2601
NPI assigned
May 24, 2005
Last updated
Mar 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X P7636 TX Primary

Addresses

Primary practice location

2821 E President George Bush Hwy
Suite 505
Richardson, TX 75082-4266

Mailing address

2821 E President George Bush Hwy Ste 404
Richardson, TX 75082-4278
Phone (214) 943-1191

Other identifiers 2

IdentifierTypeStateIssuer
381364YK5BOtherTXMEDICARE
381364YKQJOtherTXMEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222000360 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5294916391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

2805 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (469) 726-6100

2821 E President George Bush Hwy
Richardson, TX 75082-4278

2831 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (972) 498-4826

3000 Blackburn St
Suite 130
Dallas, TX 75204-2217
Phone (214) 599-8624

3001 E President George Bush Hwy
Suite 210
Richardson, TX 75082-3552
Phone (469) 913-9400

5224 S State Hwy 360
Grand Prairie, TX 75052-0950
Phone (972) 522-0691

613 S Hwy 78
Suite 200
Wylie, TX 75098-5525
Phone (972) 941-8700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting30
Pacemaker insertion or repair17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7636TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jan 2, 2018 Accepting new patients
Medhealth Family Medicine CurrentSince Jan 2, 2018 Accepting new patients
Verde Valley Medical Center Past Accepting new patients

Locations

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2821 E President George Bush Hwy
Ste 505
Richardson, TX 75082
Phone (214) 943-1191

2821 George Bush Hwy
Ste 404
Richardson, TX 75082
Phone (214) 943-2200

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: jgeorge14362@dm.mhd.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1891798856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY STE 404",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824278",
            "telephone_number": "214-943-1191",
            "fax_number": "214-599-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY",
            "address_2": "SUITE 505",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824266",
            "telephone_number": "214-943-1191",
            "fax_number": "214-599-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "P7636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "381364YK5B",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "381364YKQJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.