George H Kefalas, M.D.
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Canton, OH
NPI 1912909235 · NPPES record last updated Jan 5, 2011
Key facts
- NPI
- 1912909235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 35-081058 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Northeastern Ohio University College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aultman Hospital
Pulmonary Physicians Inc
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
- Aultman Hospital
- Alliance Community Hospital
- Aultman Orrville Hospital
- Select Specialty Hospital-Northeast Ohio, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.89 of 100
- Quality
- 80
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.62
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050525001314 | OH | Practitioner - Critical Care (Intensivists) |
7214828573 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-081058 | OH | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aultman Hospital | Current |
Accepting new patients | |
| Aultman Hospital | Current |
Accepting new patients | |
| Orrville Hospital Foundation | Current |
Accepting new patients | |
| Aultman Hospital | Current | Accepting new patients | |
| Orrville Hospital Foundation | Current |
Accepting new patients | |
| Columbus Radiology Corp | Past |
Accepting new patients | |
| Select Specialty Hospital - Northeast Ohio Inc | Past | Accepting new patients | |
| Aultman Hospital | Past | Accepting new patients | |
| Critical Care Services, P.C. | Critical Care Medicine | Past | Accepting new patients |
Locations
2600 Tuscarawas St W
Ste 100
Canton, OH 44708
Phone (330) 452-8844
2600 6th St SW
#6
Canton, OH 44710
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
832 S Main St
Orrville, OH 44667
Phone (330) 456-2695
Interoperability endpoints
- georgekefalas@ppoh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35-081058 | OH | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000186367 | Other | UNISON HEALTH PLAN | |
| 341574729038 | Other | CARESOURCE | |
| 2560607 | Medicaid | OH | |
| 000000364351 | Other | OH | ANTHEM BC/BS |
| 341574729N | Other | AULTCARE | |
| Q041672 | Other | THE HEALTH PLAN | |
| 733472 | Other | BUCKEYE COMMUNITY HEALTH |
Other providers in Canton, OH
- Richard Dennis Keefe
- Julianne Keeler
- Robert Beckett Keeling
- Mary Lou Keener
- Shannon Keeney
- Erik Keim
- Jeannine Keim
- Paul Keim
- Heather Keith
- Cody Keller
All providers in Canton, OH · Critical Care Medicine (Internal Medicine) Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.