Individual provider Active NPI

George Maliakkal Joseph, M.D.

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1932487196
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
Q7214 Issued in TX
Practice address
17430 Campbell Rd Ste 200
Dallas, TX 75252-5297
Phone
(214) 983-2880
Fax
(214) 983-2881
NPI assigned
Jul 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 Q7214 TX Primary

Addresses

Primary practice location

17430 Campbell Rd Ste 200
Dallas, TX 75252-5297

Mailing address

17430 Campbell Rd Ste 200
Dallas, TX 75252-5297
Phone (214) 983-2880

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170922001318 TX Practitioner - Ophthalmology 2062722390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical Branch at Galveston, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17430 Campbell Rd
Suite 200
Dallas, TX 75252-5297
Phone (214) 983-2880

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Eye Center, PLLC Ophthalmology CurrentSince Jul 10, 2019 Accepting new patients

Locations

17430 Campbell Rd
Ste 200
Dallas, TX 75252
Phone (214) 305-8217

14651 Dallas Pkwy
Ste 120
Dallas, TX 75254
Phone (214) 983-2880

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1932487196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17430 CAMPBELL RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525297",
            "telephone_number": "214-983-2880",
            "fax_number": "214-983-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17430 CAMPBELL RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525297",
            "telephone_number": "214-983-2880",
            "fax_number": "214-983-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "GEORGE",
        "middle_name": "MALIAKKAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q7214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.