Individual provider Active NPI

Athanasius Demosthenes George, M.D.

  • Ophthalmology Physician
  • Germantown, MD
National Provider Identifier
1891823266
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0056274 Issued in MD
Practice address
19735 Germantown Rd
Suite 240
Germantown, MD 20874-1215
Phone
(301) 916-4500
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0056274 MD Primary

Addresses

Primary practice location

19735 Germantown Rd
Suite 240
Germantown, MD 20874-1215

Mailing address

2807 Spartan Rd
Olney, MD 20832-3029
Phone (301) 570-3755

Other identifiers 4

IdentifierTypeStateIssuer
483373OtherMDMAMSI MDIPA OPTIMUMCHOICE
08-01568OtherMDUNITED HEALTHCARE
0G90ADOtherMDCAREFIRST BCBS
F911-0001OtherDCCAREFIRST BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040930000078 DC Practitioner - Ophthalmology 0648249540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19735 Germantown Rd
Suite 240
Germantown, MD 20874-1215
Phone (301) 916-4500

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0056274MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athanasius D. George, M.D., LLC Ophthalmology CurrentSince Jul 31, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

19735 Germantown Rd
Ste 240
Germantown, MD 20874
Phone (301) 916-4500

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1891823266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 SPARTAN RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208323029",
            "telephone_number": "301-570-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN RD",
            "address_2": "SUITE 240",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741215",
            "telephone_number": "301-916-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ATHANASIUS",
        "middle_name": "DEMOSTHENES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0056274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI MDIPA OPTIMUMCHOICE",
            "identifier": "483373",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "08-01568",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "0G90AD",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "F911-0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.