Individual provider Active NPI

Alexandra Jean Vasos, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1033747753
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
18444 N 25TH Ave Ste 210
Phoenix, AZ 85023-1264
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Mar 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

18444 N 25TH Ave Ste 210
Phoenix, AZ 85023-1264

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210222002522 AZ Practitioner - Physician Assistant 9931514155 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Center for Hand Surgery PCGroup PAC ID 4880585603, 32 clinicians

Practice addresses (Care Compare)

1520 S Dobson Rd
Suite 210
Mesa, AZ 85202-4753
Phone (602) 258-4788

15830 N 35TH Ave
Suite 1
Phoenix, AZ 85053-7640
Phone (602) 258-4788

3329 E Bell Rd
Suite A5
Phoenix, AZ 85032-2757
Phone (602) 258-4788

370 E Virginia Ave
Suite 100
Phoenix, AZ 85004-1254
Phone (602) 258-4788

9220 E Mountain View Rd
Suite 102
Scottsdale, AZ 85258-5134
Phone (602) 258-4788

9220 E Mountain View Rd
Suite 200
Scottsdale, AZ 85258-5136
Phone (602) 258-4788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Hand Surgery PC CurrentSince May 1, 2024 Accepting new patients
Arizona Center for Hand Surgery PC CurrentSince May 1, 2024 Accepting new patients

Locations

1520 S Dobson Rd
Ste 210
Mesa, AZ 85202
Phone (480) 898-8593

370 E Virginia Ave
Phoenix, AZ 85004
Phone (480) 206-6240

3329 E Bell Rd
Ste A5
Phoenix, AZ 85032

370 E Virginia Ave
Ste 100
Phoenix, AZ 85004
Phone (602) 200-8988

15830 N 35th Ave
Ste 1
Phoenix, AZ 85053
Phone (602) 298-1188

9220 E Mountain View Rd
Ste 200
Scottsdale, AZ 85258
Phone (480) 451-6756

9220 E Mountain View Rd
Ste 102
Scottsdale, AZ 85258
Phone (480) 661-8348

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

Organizations & group practices 4

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": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1033747753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231264",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASOS",
        "first_name": "ALEXANDRA",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.