Individual provider Active NPI

Alex Xavier Mercado Irizarry, M.D.

  • Gastroenterology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1063770592
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME136451 Issued in FL
Practice address
1900 E Commercial Blvd Ste 201
Fort Lauderdale, FL 33308-3737
Phone
(954) 928-1778
Fax
(954) 771-1402
NPI assigned
May 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19644 PR
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X ME136451 FL Primary

Addresses

Primary practice location

1900 E Commercial Blvd Ste 201
Fort Lauderdale, FL 33308-3737

Mailing address

1900 E Commercial Blvd Ste 201
Fort Lauderdale, FL 33308-3737
Phone (954) 928-1778

Other practice location 1

University District Hospital
Puerto Rico Medical Center BO. Monacillos
San Juan, PR 00935-0001
Phone (787) 754-0101 ext. 3192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190204000236 FL Practitioner - Gastroenterology 8022355759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

1900 E Commercial Blvd
201 Holy Cross Medical Group
Ft Lauderdale, FL 33308-3737
Phone (954) 928-1778

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy46
Upper gastrointestinal (GI) endoscopy for acid reflux61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19644PRMDInternal Medicine Physician
ME136451FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc Multi-Specialty CurrentSince Sep 15, 2018 Accepting new patients
Holy Cross Hospital Inc Multi-Specialty CurrentSince Sep 15, 2018 Accepting new patients

Locations

4701 N Federal Hwy
Ste B
Ft Lauderdale, FL 33308
Phone (954) 229-6000

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1900 E Commercial Blvd
Ste 201
Ft Lauderdale, FL 33308
Phone (954) 351-5857

Interoperability endpoints

  • Direct secure messaging: amercadoirizarry2023504@direct.trinity-health.org

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1063770592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E COMMERCIAL BLVD STE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083737",
            "telephone_number": "954-928-1778",
            "fax_number": "954-771-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E COMMERCIAL BLVD STE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083737",
            "telephone_number": "954-928-1778",
            "fax_number": "954-771-1402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University District Hospital",
            "address_2": "Puerto Rico Medical Center BO. Monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-754-0101 x3192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO IRIZARRY",
        "first_name": "ALEX",
        "middle_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19644",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME136451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.