Individual provider Active NPI

Alexander Gaitanis, D.O.

  • Medical Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1114937844
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
OS017678 Issued in PA
Practice address
5501 Old York Rd Ste 1
Philadelphia, PA 19141-3018
Phone
(215) 456-3880
Fax
(215) 456-3437
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1799 TN
Medical Oncology Physician 207RX0202X 10801 CA
Medical Oncology Physician 207RX0202X OS017678 PA Primary

Addresses

Primary practice location

5501 Old York Rd Ste 1
Philadelphia, PA 19141-3018

Mailing address

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-1825

Other practice location 1

8900 Wilshire Blvd
Beverly Hills, CA 90211-1958
Phone (877) 320-5131

Other practice location 2

1000 East Mountain Blvd
Wilkes Barre, PA 18711-3486
Phone (570) 808-4772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WV, PA, MA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20091230000407 CA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 8022016641 Reassigns benefits to 3 organizations
I20230725002447 WV Practitioner - Medical Oncology 8022016641 Reassigns benefits to 1 organization
I20250505001146 PA Practitioner - Internal Medicine 8022016641 Reassigns benefits to 1 organization
I20260224004425 MA Practitioner - Hematology/Oncology 8022016641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

2710 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 267-2060

Hospital & facility affiliations

  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Providence Redwood Memorial Hospital Hospital, Fortuna, CA, CCN 051318
  • Mad River Community Hospital Hospital, Arcata, CA, CCN 050028

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1799TNMDInternal Medicine Physician
10801CAMDMedical Oncology Physician
OS017678PAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn Inc. CurrentSince Aug 1, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Sep 27, 2024 Accepting new patients
Komal Desai MD Inc CurrentSince Jul 1, 2021 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Aug 1, 2023 Accepting new patients
Geisinger Clinic CurrentSince May 1, 2025 Accepting new patients
Geisinger Clinic CurrentSince May 1, 2025 Accepting new patients
Geisinger Clinic Current Accepting new patients
Confermed of California PC Internal Medicine CurrentSince Aug 20, 2024 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Sep 27, 2024 Accepting new patients
Physicians of Cape Cod Hospital Internal Medicine CurrentSince Jan 18, 2026 Accepting new patients
Confermed PC Internal Medicine Past Accepting new patients

Locations

4500 Morning Dr
Ste 105
Bakersfield, CA 93306
Phone (661) 491-5060

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

11 Silver St
Unit 856
Middletown, CT 06457

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

100 N Academy Ave
Danville, PA 17822

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

275 Dry Hill Rd
Beckley, WV 25801
Phone (304) 253-6060

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: agaitanis309002@direct.wvuhsdirect.com
  • Direct secure messaging: agaitanis@directaddress.net

Organizations & group practices 12

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.

Hospital & facility affiliations 7

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1114937844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470",
            "telephone_number": "215-456-1825",
            "fax_number": "215-456-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD STE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-3880",
            "fax_number": "215-456-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111958",
            "country_code": "US",
            "telephone_number": "877-320-5131",
            "fax_number": "310-432-8901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 East Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187113486",
            "country_code": "US",
            "telephone_number": "570-808-4772",
            "fax_number": "570-808-6174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAITANIS",
        "first_name": "ALEXANDER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "1799",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "10801",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "OS017678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.