Individual provider Active NPI

Alexandra Dormoy, PA-C

  • Physician Assistant
  • South Miami, FL
National Provider Identifier
1114203536
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106264
Practice address
5995 SW 71St St Ste 403-B
South Miami, FL 33143
Phone
(305) 665-6926
Fax
(305) 661-2003
NPI assigned
Oct 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106264 Primary

Addresses

Primary practice location

5995 SW 71St St Ste 403-B
South Miami, FL 33143

Mailing address

5995 SW 71St St Ste 403-B
South Miami, FL 33143-3531
Phone (305) 665-6926

Other practice location 1

6141 Sunset Dr Ste 102A
South Miami, FL 33143-5024
Phone (305) 665-6926

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexandra.dormoy@phpllc.eclinicaldirectplus.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120312000124 FL Practitioner - Physician Assistant 7012176001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primehealth Physicians LLCGroup PAC ID 0042456907, 34 clinicians

Practice addresses (Care Compare)

5995 SW 71St St
Suite 403
South Miami, FL 33143-3531
Phone (305) 894-7400

National Provider Directory

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1114203536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 SW 71ST ST STE 403-B",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433531",
            "telephone_number": "305-665-6926",
            "fax_number": "305-661-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 SW 71ST ST STE 403-B",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-665-6926",
            "fax_number": "305-661-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6141 Sunset Dr Ste 102A",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331435024",
            "country_code": "US",
            "telephone_number": "305-665-6926",
            "fax_number": "305-661-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORMOY",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "PA9106264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexandra.dormoy@phpllc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5995 SW 71st St Ste 403-B",
            "city": "South Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.