Individual provider Active NPI

Ian J Alexander, MD

  • Otolaryngology Physician
  • Boerne, TX
National Provider Identifier
1033378245
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD2009-0464 Issued in NM
Practice address
34910 Interstate 10 W 3
Boerne, TX 78006-9229
Phone
(210) 202-0250
Fax
(505) 661-0075
NPI assigned
Jun 3, 2008
Last updated
Aug 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MT184869 PA
Otolaryngology Physician 207Y00000X MD2009-0464 NM Primary

Addresses

Primary practice location

34910 Interstate 10 W 3
Boerne, TX 78006-9229

Mailing address

1190 Spring Creek PL E1
Springville, UT 84663-6002
Phone (505) 697-9095

Other identifiers 1

IdentifierTypeStateIssuer
88605761MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, AZ3 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
I20090911000493 NM Practitioner - Otolaryngology 2062567225 Reassigns benefits to 1 organization
I20151201000557 TX Practitioner - Otolaryngology 2062567225 Reassigns benefits to 1 organization
I20230505001620 AZ Practitioner - Otolaryngology 2062567225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of New Mexico School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Sinus Institute PLLCGroup PAC ID 9234284407, 36 clinicians

Practice addresses (Care Compare)

156 W Sunset Rd
Suite 200
San Antonio, TX 78209-5760
Phone (210) 202-0250

270 E Hunt Hwy
Suite 18
San Tan Valley, AZ 85143-4964
Phone (480) 400-5854

3406 Bob Rogers Dr
Suite 270
Eagle Pass, TX 78852-5943
Phone (210) 202-0250

34910 Interstate 10 W
Suite 301
Boerne, TX 78006-9230
Phone (210) 202-0250

3917 W Rd
250 New Mexico Sinus Institute
Los Alamos, NM 87544-5302
Phone (505) 661-4147

Merit-based Incentive Payment System (MIPS)

Final score
82.88 of 100Reported as group
Quality
73.96
Promoting interoperability
93
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT184869PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Hearing and Balance, LLC. PastSince Oct 8, 2019 Accepting new patients

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • CO HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: esm9284@yourcarecommunity.org
  • Direct secure messaging: ialexander6482@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1033378245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 SPRING CREEK PL E1",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846636002",
            "telephone_number": "505-697-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34910 INTERSTATE 10 W 3",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069229",
            "telephone_number": "210-202-0250",
            "fax_number": "505-661-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "IAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MT184869",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NM",
            "license": "MD2009-0464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88605761",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.