Active NPI
Alexandra Yatros, MPAS, PA-C
- Physician Assistant
- Tampa, FL
National Provider Identifier
1114379484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109454
- Practice address
- 4238 W Kennedy Blvd
Tampa, FL 33609-2231 - Phone
- (813) 879-6040
- Fax
- (813) 879-6043
- NPI assigned
- Jul 11, 2016
- 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 | PA9109454 | FL | Primary |
Addresses
Primary practice location
4238 W Kennedy Blvd
Tampa, FL 33609-2231
Mailing address
PO Box 23329
New York, NY 10087-3329
Other practice location 1
2919 W Swann Ave Ste 205
Tampa, FL 33609-4050
Phone (813) 514-8985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019364300 | Medicaid | FL |
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2919 W Swann Ave
Suite 205
Tampa, FL 33609-4050
Phone (813) 514-8985
4238 W Kennedy Blvd
Tampa, FL 33609-2231
Phone (813) 879-6040
5210 Webb Rd
Tampa, FL 33615-4518
Phone (813) 882-9986
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109454 | FL | MD | Physician Assistant |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- ayatros@aadermaffiliates.emadirect.md
- ayatros@directaddress.net
Organizations & group practices 1
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.
-
- Dermatology Physician
- Tampa, FL
- NPI 1538119722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1114379484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23329",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100873329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4238 W KENNEDY BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092231",
"telephone_number": "813-879-6040",
"fax_number": "813-879-6043"
}
],
"practiceLocations": [
{
"address_1": "2919 W Swann Ave Ste 205",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336094050",
"country_code": "US",
"telephone_number": "813-514-8985",
"fax_number": "813-514-8983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YATROS",
"first_name": "ALEXANDRA",
"credential": "MPAS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019364300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.