NPIMap

Individual provider Active NPI

George J Mikos, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Louisville, KY
National Provider Identifier
1972564268
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35282 Issued in KY
Practice address
3 Audubon Plaza Dr Ste 560
Louisville, KY 40217-1376
Phone
(502) 636-8004
Fax
(502) 636-8384
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35282 KY Primary

Addresses

Primary practice location

3 Audubon Plaza Dr Ste 560
Louisville, KY 40217-1376

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 9

IdentifierTypeStateIssuer
000000495881OtherANTHEM - CTS
200276930MedicaidIN
2757822000OtherPAD - CTS 3APD
50011794OtherPASSPORT - CTS 3APD
P00374287OtherKYRRMCR - CTS
2757831000OtherPAD - CTS 234 EGS
50011793OtherPASSPORT - CTS 234EGS
64004187MedicaidKY
078880OtherSIHO - CTS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gmikos11014@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051024000108 KY Practitioner - Cardiovascular Disease (Cardiology) 7517983018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Oklahoma College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

3 Audubon Plaza Dr
Suite 550
Louisville, KY 40217-1376
Phone (502) 634-3805

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2006 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2006 Accepting new patients
Community Medical Associates, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
George J Mikos MD LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Louisville Heart Surgery, PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1858 Old Lebanon Rd
Campbellsville, KY 42718
Phone (270) 465-0632

2410 Ring Rd
Ste 500
Elizabethtown, KY 42701
Phone (270) 765-5900

234 E Gray St
Ste 550
Louisville, KY 40202
Phone (502) 629-2935

3999 Dutchmans Ln
Ste 1H
Louisville, KY 40207
Phone (502) 636-7472

2355 Poplar Level Rd
Ste G1
Louisville, KY 40217
Phone (502) 636-8121

3 Audubon Plaza Dr
Ste 550
Louisville, KY 40217
Phone (502) 634-3805

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

3 Audubon Plaza Dr
Ste 220
Louisville, KY 40217
Phone (502) 636-7242

4420 Dixie Hwy
Ste 118
Louisville, KY 40216
Phone (502) 447-3448

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

3 Audubon Plaza Dr
Ste 560
Louisville, KY 40217
Phone (502) 636-8004

210 E Gray St
Ste 1002
Louisville, KY 40202
Phone (502) 584-2027

901 DuPont Rd
Ste 200
Louisville, KY 40207

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

Interoperability endpoints

  • Direct secure messaging: gmikos11014@direct.nortonhealthcare.org

Organizations & group practices 7

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1972564268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AUDUBON PLAZA DR STE 560",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171376",
            "telephone_number": "502-636-8004",
            "fax_number": "502-636-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOS",
        "first_name": "GEORGE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "35282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - CTS",
            "identifier": "000000495881",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200276930",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAD - CTS 3APD",
            "identifier": "2757822000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT - CTS 3APD",
            "identifier": "50011794",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR - CTS",
            "identifier": "P00374287",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAD - CTS 234 EGS",
            "identifier": "2757831000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT - CTS 234EGS",
            "identifier": "50011793",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64004187",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO - CTS",
            "identifier": "078880",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmikos11014@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "3 Audubon Plaza Dr Ste 560",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "3 Audubon Plaza Dr Ste 560",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.