Individual provider Active NPI

George Thomas Klauber, MD

Urology Physician
Boston, MA

National Provider Identifier

1942216163

Registry record updated Jan 21, 2011

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
Organizations & group practices1
NPI Registry JSON
Other providers in Boston, MA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Urology PhysicianTaxonomy code 208800000X
License: MA44892 Issued in MA
Practice address: 800 Washington St # 92
Tufts Medical Center
Boston, MA 02111-1552
Phone: (617) 636-5360
Fax: (617) 636-4267
NPI assigned: Jul 31, 2006
Sex: Male
Sole proprietor: No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	MA44892	MA
Urology Physician	208800000X	MA44892	MA	Primary

Addresses

Primary practice location

800 Washington St # 92
Tufts Medical Center
Boston, MA 02111-1552

Mailing address

23 Fayette Street
Boston, MA 02116-5518
Phone (617) 482-3032

Other identifiers 15

Identifier	Type	State	Issuer
B20065201	Other		CIGNA
0012642	Other		NEIGHBORHOOD HEALTH PLAN
GK07768	Other		RI MEDICAID
007129	Other	MA	TUFTS MEDICAL CENTER
0106267	Other		MASS HEALTH
27834NEMC	Other		HARVARD PILGRIM
0106267	Other		MA MEDICAID
0106267	Medicaid	MA
1900088	Other		UNITED HEALTH CARE
044892	Other	MA	TUFTS HEALTH PLAN
992571	Other		NETWORK HEALTH
E05074	Other		BLUE SHIELD INDEMNITY
E05074	Other		BLUE SHIELD MANAGED CARE
27357	Other		PILGRIM
0509748	Other		AETNA US HEALTHCARE

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: No
Medical equipment: Yes
Home health: No
Power mobility devices: Yes
Hospice: No

Green means eligible to order or refer.

National Provider Directory

Medicare enrollment (NPD): Enrolled
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MA44892	MA	MD	Urology Physician

Practice roles

Organization	Specialty	Status	New patients
LGH Medical Group, Inc.		PastSince Oct 15, 2014	Accepting new patients

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.

LGH Medical Group, Inc.
- Hospitalist Physician
- Lowell, MA
- NPI 1174698385
NPD (past)

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1942216163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 FAYETTE STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165518",
            "telephone_number": "617-482-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST # 92",
            "address_2": "TUFTS MEDICAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5360",
            "fax_number": "617-636-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAUBER",
        "first_name": "GEORGE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "MA44892",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "MA44892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "B20065201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0012642",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI MEDICAID",
            "identifier": "GK07768",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS MEDICAL CENTER",
            "identifier": "007129",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH",
            "identifier": "0106267",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "27834NEMC",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA MEDICAID",
            "identifier": "0106267",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106267",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1900088",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "044892",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "992571",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INDEMNITY",
            "identifier": "E05074",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MANAGED CARE",
            "identifier": "E05074",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM",
            "identifier": "27357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0509748",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.