NPIMap

Individual provider Active NPI

Richard Alexan-Shirabad, M.D.

  • Neurology Physician
  • Bakersfield, CA
National Provider Identifier
1104859909
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A85082 Issued in CA
Practice address
4900 Commerce Dr
Bakersfield, CA 93309-0418
Phone
(661) 395-0900
Fax
(661) 395-0700
NPI assigned
Jul 8, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A85082 CA Primary

Addresses

Primary practice location

4900 Commerce Dr
Bakersfield, CA 93309-0418

Mailing address

PO Box 10719
Bakersfield, CA 93389
Phone (661) 395-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001680 CA Practitioner - Neurology 1951384825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Richard Alexan MD IncGroup PAC ID 3173688710, 4 clinicians

Practice addresses (Care Compare)

4900 Commerce Dr
Bakersfield, CA 93309-0418
Phone (661) 395-0900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.26 of 100Reported as group
Quality
87.5
Promoting interoperability
99
Improvement activities
40
Cost
77.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A85082CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Alexan MD Inc CurrentSince Jul 1, 2008 Accepting new patients
Dignity Health Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients

Locations

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

4900 Commerce Dr
Bakersfield, CA 93309
Phone (661) 325-7791

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ralexan@337.securemail.prognocis.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104859909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10719",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93389",
            "telephone_number": "661-395-0900",
            "fax_number": "661-395-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 COMMERCE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090418",
            "telephone_number": "661-395-0900",
            "fax_number": "661-395-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXAN-SHIRABAD",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A85082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.