Individual provider Active NPI

Sabu George, MD, FACC

  • Interventional Cardiology Physician
  • Bristol, PA
National Provider Identifier
1942234208
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
31961 Issued in NE
Practice address
234 Mill St
Bristol, PA 19007-4809
Phone
(215) 785-5100
Fax
(215) 785-5101
NPI assigned
Jul 10, 2006
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD071538L PA
Cardiovascular Disease Physician 207RC0000X MD071538L PA
Interventional Cardiology Physician 207RI0011X 71574 WI
Interventional Cardiology Physician 207RI0011X 31961 NE Primary

Addresses

Primary practice location

234 Mill St
Bristol, PA 19007-4809

Mailing address

13106 Bustleton Ave
Philadelphia, PA 19116-1604
Phone (215) 677-5431

Other identifiers 4

IdentifierTypeStateIssuer
2708321000OtherPAINDEPENDENCE BLUE CROSS
101648757MedicaidPA
30043356OtherPAKEYSTONE MERCY
1851521OtherPAHIGHMARK

Other names 1

  • Sabu George Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address sgeorge293303@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WI, NE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061117000118 PA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3779581202 Reassigns benefits to 2 organizations
I20190815000685 WI Practitioner - Interventional Cardiology 3779581202 Reassigns benefits to 6 organizations
I20210820001736 NE Practitioner - Interventional Cardiology 3779581202 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians
Columbus Community Hospital IncGroup PAC ID 7517954944, shared by 6 NPIs, 86 clinicians

Practice addresses (Care Compare)

2700 W Norfolk Ave
Norfolk, NE 68701-4438

4508 38TH St
Columbus, NE 68601-1668

4600 38TH St
Columbus, NE 68601-1664
Phone (402) 564-7118

47452 268 Ave
Suite C
Humphrey, NE 68642-5178
Phone (402) 923-0150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD071538LPAMDInternal Medicine Physician
31961NEMDInterventional Cardiology Physician
71574WIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Community Hospital Inc Cardiovascular Disease CurrentSince May 1, 2022 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Jun 5, 2020 Accepting new patients
Wayne Memorial Hospital Internal Medicine CurrentSince May 26, 2019 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jun 5, 2020 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Jun 5, 2020 Accepting new patients
North Platte Nebraska Hospital Corporation Internal Medicine CurrentSince Dec 22, 2021 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 5, 2020 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Faith Regional Physician Services, LLC Internal Medicine CurrentSince Aug 9, 2021 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince Aug 9, 2021 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jun 5, 2020 Accepting new patients
Columbus Community Hospital Inc CurrentSince May 1, 2022 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 5, 2020 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Jun 5, 2020 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 5, 2020 Accepting new patients
Wayne Memorial Hospital CurrentSince May 26, 2019 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 5, 2020 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Jun 5, 2020 Accepting new patients
BMC Specialty Physicians LLC Cardiovascular Disease CurrentSince Aug 21, 2015 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Columbus Community Hospital Inc Current Accepting new patients
Columbus Community Hospital Inc CurrentSince May 1, 2022 Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Internal Medicine Past Accepting new patients
Bala Cardiovascular Consultants, P.C. Cardiovascular Disease Past Accepting new patients
Columbus General Surgery PC Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

4508 38th St
Ste 210
Columbus, NE 68601
Phone (402) 488-6969

4600 38th St
Columbus, NE 68601
Phone (402) 562-3333

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

234 Mill St
Bristol, PA 19007
Phone (215) 310-8087

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

501 Bath Rd
Ste 208
Bristol, PA 19007
Phone (215) 739-2121

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: sgeorge@cgs.gwaydirect.com

Organizations & group practices 26

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.

View all 26

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1942234208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13106 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161604",
            "telephone_number": "215-677-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MILL ST",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074809",
            "telephone_number": "215-785-5100",
            "fax_number": "215-785-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SABU",
        "credential": "MD, FACC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD071538L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD071538L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WI",
            "license": "71574",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NE",
            "license": "31961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2708321000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101648757",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30043356",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1851521",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "855 N Westhaven Dr",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgeorge293303@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "855 N Westhaven Dr",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SABU",
            "last_name": "GEORGE",
            "credential": "M.D, FACC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bristol, PA

Sources for this page

Verify at the official NPI Registry.