Individual provider Active NPI

Lucien Carida Alexandre, MD, PHD

  • Interventional Pain Medicine Physician
  • Hollywood, FL
National Provider Identifier
1104111012
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME128648 Issued in FL
Practice address
4350 Sheridan St Ste 102
Hollywood, FL 33021-3556
Phone
(954) 322-8586
Fax
(954) 322-8581
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X ME128648 FL
Interventional Pain Medicine Physician 208VP0014X ME128648 FL Primary

Addresses

Primary practice location

4350 Sheridan St Ste 102
Hollywood, FL 33021-3556

Mailing address

4350 Sheridan St Ste 102
Hollywood, FL 33021-3556
Phone (954) 322-8586

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
I20161115001057 FL Practitioner - Pain Management 7315226396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Albert Einstein College of Medicine of Yeshiva University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuroscience Associates IncGroup PAC ID 6800025131, 10 clinicians

Practice addresses (Care Compare)

3659 S Miami Ave
Suite 4002
Miami, FL 33133-4231
Phone (305) 296-2212

Hospital & facility affiliations

  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313
  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167
  • Fishermen'S Community Hospital Hospital, Marathon, FL, CCN 101312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME128648FLMDPain Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Associates Inc CurrentSince Jan 1, 2023 Accepting new patients
Physician Practices of MSMC, LLC CurrentSince Jul 20, 2016 Accepting new patients
Neuroscience Associates Inc Pain Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

1111 12th St
Ste 212
Key West, FL 33040
Phone (305) 296-2212

925 Toppino Dr
Key West, FL 33040
Phone (305) 296-2212

3659 S Miami Ave
Ste 4002
Miami, FL 33133
Phone (305) 393-8810

3661 S Miami Ave
Ste 606
Miami, FL 33133
Phone (305) 854-9023

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4302 Alton Rd
Ste 840
Miami Beach, FL 33140
Phone (305) 403-1234

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGHGCA/Endpoint/JGHGCA

Organizations & group practices 3

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1104111012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 SHERIDAN ST STE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213556",
            "telephone_number": "954-322-8586",
            "fax_number": "954-322-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 SHERIDAN ST STE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213556",
            "telephone_number": "954-322-8586",
            "fax_number": "954-322-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDRE",
        "first_name": "LUCIEN",
        "middle_name": "CARIDA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "FL",
            "license": "ME128648",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME128648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.