NPIMap

Individual provider Active NPI

George H Kefalas, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Canton, OH
National Provider Identifier
1912909235
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
35-081058 Issued in OH
Practice address
2600 Tuscarawas St W
Ste 100
Canton, OH 44708-4696
Phone
(330) 452-8844
Fax
(330) 452-7012
NPI assigned
Jun 1, 2005
Last updated
Jan 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35-081058 OH Primary
Pulmonary Disease Physician 207RP1001X 35-081058 OH

Addresses

Primary practice location

2600 Tuscarawas St W
Ste 100
Canton, OH 44708-4696

Mailing address

2600 Tuscarawas St W
Ste 100
Canton, OH 44708-4696
Phone (330) 452-8844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525001314 OH Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7214828573 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Northeastern Ohio University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aultman HospitalGroup PAC ID 3779485867, 41 clinicians
Pulmonary Physicians IncGroup PAC ID 2264429117, 11 clinicians

Practice addresses (Care Compare)

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 452-9911

2600 Tuscarawas St W
Suite 100
Canton, OH 44708-4696
Phone (330) 452-8844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.89 of 100Reported as individual
Quality
80
Promoting interoperability
100
Improvement activities
40
Cost
79.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-081058OHMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Hospital CurrentSince Apr 1, 2023 Accepting new patients
Aultman Hospital Current Accepting new patients
Aultman Hospital CurrentSince Apr 1, 2023 Accepting new patients
Orrville Hospital Foundation CurrentSince May 1, 2023 Accepting new patients
Orrville Hospital Foundation CurrentSince May 1, 2023 Accepting new patients
Select Specialty Hospital - Northeast Ohio Inc Past Accepting new patients
Aultman Hospital Past Accepting new patients
Columbus Radiology Corp PastSince Aug 15, 2005 Accepting new patients
Aultman Hospital Past Accepting new patients
Critical Care Services, P.C. Critical Care Medicine Past Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
#6
Canton, OH 44710

2600 Tuscarawas St W
Ste 100
Canton, OH 44708
Phone (330) 452-8844

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Interoperability endpoints

  • Direct secure messaging: georgekefalas@ppoh.allscriptsdirect.net

Organizations & group practices 12

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 5

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1912909235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W",
            "address_2": "STE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084696",
            "telephone_number": "330-452-8844",
            "fax_number": "330-452-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W",
            "address_2": "STE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084696",
            "telephone_number": "330-452-8844",
            "fax_number": "330-452-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEFALAS",
        "first_name": "GEORGE",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35-081058",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35-081058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.