Individual provider Active NPI

Meena S George, M.D., PH.D.

  • Ophthalmology Physician
  • Oak Forest, IL
National Provider Identifier
1982913661
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036141259 Issued in IL
Practice address
6320 159TH St
Suite a
Oak Forest, IL 60452-2776
Phone
(708) 687-2222
Fax
(708) 687-3829
NPI assigned
Sep 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 036141259 IL
Ophthalmology Physician 207W00000X 036141259 IL Primary

Addresses

Primary practice location

6320 159TH St
Suite a
Oak Forest, IL 60452-2776

Mailing address

6320 W 159TH Street
Suite a
Oak Forest, IL 60452
Phone (708) 687-2222

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address meena.george@ur.eclinicaldirectplus.com Health Information Exchange (HIE) UNIVERSITY RETINA AND MACULA ASSOCIATES P C
Direct Messaging Address mgeorge257774@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031002528 IL Practitioner - Ophthalmology 2961620661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Retina and Macula Associates P CGroup PAC ID 6002848843, 6 clinicians

Practice addresses (Care Compare)

6320 W 159TH St
Suite a
Oak Forest, IL 60452-2780
Phone (708) 687-2222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036141259ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Retina and Macula Associates P C Ophthalmology CurrentSince Sep 15, 2016 Accepting new patients
Gainesville Eye Associates LLC Ophthalmology Current Accepting new patients

Locations

7456 S State Rd
Ste 103
Bedford Park, IL 60638
Phone (708) 424-6500

3825 Highland Ave
Ste 5C
Downers Grove, IL 60515
Phone (630) 964-2000

15947 W 127th St
Ste E
Lemont, IL 60439
Phone (630) 410-8357

1 E 22nd St
Ste 100
Lombard, IL 60148
Phone (331) 772-2300

6320 159th St
Ste A
Oak Forest, IL 60452
Phone (708) 687-2222

Interoperability endpoints

  • Direct secure messaging: mgeorge@esp.intellechartdirect.net

Organizations & group practices 2

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1982913661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W 159TH STREET",
            "address_2": "SUITE A",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "60452",
            "telephone_number": "708-687-2222",
            "fax_number": "708-687-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 159TH ST",
            "address_2": "SUITE A",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522776",
            "telephone_number": "708-687-2222",
            "fax_number": "708-687-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "MEENA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-29",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036141259",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036141259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meena.george@ur.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "EHR",
            "affiliationName": "UNIVERSITY RETINA AND MACULA ASSOCIATES P C",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3825 Highland Ave Ste 5C",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgeorge257774@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3825 Highland Ave Ste 5C",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

Verify at the official NPI Registry.