Active NPI
Alexandra Dormoy, PA-C
- Physician Assistant
- South Miami, FL
National Provider Identifier
1114203536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1871838193
-
- Preferred Provider Organization
- Miami, FL
- NPI 1316763394
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.