Active NPI
Alexandra Pelaez, MD
- Family Medicine Physician
- Marysville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.131715
- Practice address
- 17853 State Route 31
Marysville, OH 43040-8520 - Phone
- (937) 578-4004
- Fax
- (937) 578-4024
- NPI assigned
- May 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.131715 | OH | Primary |
Addresses
Primary practice location
17853 State Route 31
Marysville, OH 43040-8520
Mailing address
17853 State Route 31
Marysville, OH 43040-8520
Phone (937) 578-4004
Other names 1
- Alexandra Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
388 Damascus Rd
Marysville, OH 43040-5535
Phone (937) 578-2626
Hospital & facility affiliations
- Gem City Home Care
- Memorial Hospital
- Dublin Methodist Hospital
- James Cancer Hospital & Solove Research Institute
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.33 of 100
- Quality
- 68.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.49
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union County Physician Corporation | Current | Accepting new patients | |
| Union County Physician Corporation | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
17853 State Route 31
Marysville, OH 43040
Phone (937) 578-4200
388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626
17853 State Route 31
Ste B
Marysville, OH 43040
Phone (937) 578-4004
480 S Jefferson Ave
Ste 400
Plain City, OH 43064
Phone (614) 570-3598
480 S Jefferson Ave
Ste 500
Plain City, OH 43064
Phone (614) 873-3434
Interoperability endpoints
- asmith13376@direct.osumc.edu
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.
-
- Otolaryngology Physician
- Marysville, OH
- NPI 1992941108
-
- Occupational Medicine Physician
- Marysville, OH
- NPI 1497300172
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dublin, OH
- NPI 1588611073
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
-
- General Acute Care Hospital
- Marysville, OH
- NPI 1720159338
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1801937008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1104238930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17853 STATE ROUTE 31",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430408520",
"telephone_number": "937-578-4004",
"fax_number": "937-578-4024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17853 STATE ROUTE 31",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430408520",
"telephone_number": "937-578-4004",
"fax_number": "937-578-4024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELAEZ",
"first_name": "ALEXANDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.131715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRA",
"last_name": "SMITH",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.