Active NPI
Ian J Alexander, MD
- Otolaryngology Physician
- Boerne, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD2009-0464
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88605761 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT184869 | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Hearing and Balance, LLC. | Past | Accepting new patients |
Networks
- CO HMO
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- CO HMO D-SNP
- CO HMO C-SNP
Interoperability endpoints
- esm9284@yourcarecommunity.org
- 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.
-
- Audiologist
- Albuquerque, NM
- NPI 1841844800
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
- Alamo Eye Institute, PLLC
- Alamo Prosthetics LLC
- Alyssa Alaniz
- Celest Aldrich, CCC-SLP
- Alef Home Health Services LLC
- Jennifer Alexander, LPCA
- All County Home Care, LLC. (All County Home Care and Hospice)
- All World Hearing & Assistive Devices
- Jade Aller, RBT
- Alliance Spine and Pain Management, PLLC (Freedom Spine & Pain Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.