Active NPI
Alphonsa T. George, M.D.
- Anesthesiology Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036088105
- Practice address
- 1775 Dempster St
Park Ridge, IL 60068-1143 - Phone
- (847) 723-1773
- NPI assigned
- Jun 21, 2006
- Last updated
- Dec 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036088105 | IL | Primary |
Addresses
Primary practice location
1775 Dempster St
Park Ridge, IL 60068-1143
Mailing address
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (708) 723-2210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036088105 | Medicaid | IL |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https;??epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | ageorge251222@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR?MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | ageorge251222@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000
1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210
5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-1200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036088105 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Partners, LLC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Illinois, LLC | Anesthesiology | Current | Accepting new patients |
| Macneal Physicians Group LLC | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
1225 W Lake St
Melrose Park, IL 60160
Phone (708) 681-3000
387 Shuman Blvd
Ste 240W
Naperville, IL 60563
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
dba Vanguard Medical Group
- Internal Medicine Physician
- Berwyn, IL
- NPI 1205024791
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
dba Adventhealth la Grange
- General Acute Care Hospital
- La Grange, IL
- NPI 1407889652
-
dba Adventhealth Hinsdale
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
dba Adventhealth la Grange
- Rehabilitation Hospital Unit
- La Grange, IL
- NPI 1588068274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1932145570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 DEMPSTER ST",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681143",
"telephone_number": "708-723-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 DEMPSTER ST",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681143",
"telephone_number": "847-723-1773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "ALPHONSA",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036088105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036088105",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https;??epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1775 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ageorge251222@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1775 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR?MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1775 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ageorge251222@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1775 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.