Alexander Anetakis

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

28771 Issued in SC

Practice address

4600 Oleander Dr
Retina of Coastal Carolina
Myrtle Beach, SC 29577-5897

Phone

(910) 254-2023

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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.

• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004

  PA

  Medicare reassignment Care Compare group NPD
• Minuteclinic Diagnostic of Pennsylvania LLC

  • Family Nurse Practitioner
  • Bryn Mawr, PA
  • NPI 1881738037

  Ophthalmology, PA

  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  Care Compare group NPD
• Retina of Coastal Carolina, PLLC

  • Ophthalmology Physician
  • Wilmington, NC
  • NPI 1326089442

  Ophthalmology

  NPD
• University of Pittsburgh Physicians

  • Ophthalmology Physician
  • Pittsburgh, PA
  • NPI 1710945100

  Ophthalmology

  NPD
• Retina Specialists of Alabama LLC

  • Retina Specialist (Ophthalmology) Physician
  • Birmingham, AL
  • NPI 1437194867

  Ophthalmology

  NPD (past)
• Upmc Emergency Medicine Inc

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1891744041
  NPD (past)

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

• Upmc Mercy

  • Psychiatric Hospital Unit
  • Pittsburgh, PA
  • NPI 1225004047

  Hospital

  Care Compare affiliation
• Upmc Mercy

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
  • NPI 1568526135

  Hospital

  Care Compare affiliation
• Upmc Mercy

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1881695146

  Hospital

  Care Compare affiliation

Specialty

Ophthalmology

Education

Northeastern Ohio University College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Pittsburgh Physicians 4,166 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Mercy Hospital, Pittsburgh, PA, CCN 390028

Merit-based Incentive Payment System (MIPS)

Final score

80.94 of 100Reported as group

Quality

61.89

Promoting interoperability

100

Improvement activities

40

Cost

74.58

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2021.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1003842220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NEW HANOVER MEDICAL PARK DRIVE",
            "address_2": "RETINA OF COASTAL CAROLINA",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 OLEANDER DR",
            "address_2": "RETINA OF COASTAL CAROLINA",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775897",
            "telephone_number": "910-254-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANETAKIS",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "28771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexander.j.anetakis@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia Williams Anderson, FNP
• Jill M Anderson, MA, LPC
• Ava Andrews, RPH
• Stephen Francis Andrews, DO
• Anesthesia SC LLC
• Angel Oak Nursing and Rehabilitation Center LLC
• Angelic Health of SC LLC
• Angelic Health of SC LLC
• Angelic Health Practice Group
• Angelic Health Practice Group

• All providers in Myrtle Beach, SC
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.