Individual provider Active NPI

Alexander C Egerter, D.O.

  • General Practice Physician
  • New York, NY
National Provider Identifier
1124554399
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
301583 Issued in NY
Practice address
330 W 58TH St Ste 305
New York, NY 10019-1801
Phone
(347) 454-6590
Fax
(347) 679-6552
NPI assigned
May 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.015410 OH
General Practice Physician 208D00000X 301583 NY Primary

Addresses

Primary practice location

330 W 58TH St Ste 305
New York, NY 10019-1801

Mailing address

3 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-4003
Phone (415) 294-1345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, HI, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230126000199 NY Practitioner - Emergency Medicine 7214326628 Reassigns benefits to 1 organization
I20240814003636 HI Practitioner - Emergency MedicinePractitioner - General Practice 7214326628 Reassigns benefits to 1 organization
I20250224001494 CA Practitioner - Emergency Medicine 7214326628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

1425 S Main St
Walnut Creek, CA 94596-5318
Phone (925) 295-4000

Hospital & facility affiliations

  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047

Merit-based Incentive Payment System (MIPS)

Final score
95.95 of 100Reported as group
Quality
87.44
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.015410OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine CurrentSince Aug 12, 2024 Accepting new patients
Permanente Medical Group Inc Emergency Medicine Current Accepting new patients
Union Community Health Center, Inc. CurrentSince Jan 15, 2023 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
Emergency Medicine Physicians of Franklin County, LTD Emergency Medicine CurrentSince Jan 10, 2022 Accepting new patients
Emergency Medicine Physicians of Champaign County LTD Emergency Medicine CurrentSince Dec 9, 2021 Accepting new patients
Permanente Medical Group Inc Emergency Medicine CurrentSince Feb 14, 2025 Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 14, 2025 Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

1425 S Main St
Walnut Creek, CA 94596
Phone (925) 295-4130

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

45-547 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7211

56-117 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9221

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

2021 Grand Concourse
Bronx, NY 10453
Phone (718) 299-2800

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: aegerter20450@sbhny.direct-ci.net
  • Direct secure messaging: alexander.egerter.1@18107.direct.athenahealth.com
  • Direct secure messaging: alexander.egerter.1@25843.direct.athenahealth.com

Organizations & group practices 9

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 1

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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1124554399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EMBARCADERO CTR LBBY LEVEL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114003",
            "telephone_number": "415-294-1345",
            "fax_number": "347-679-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST STE 305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191801",
            "telephone_number": "347-454-6590",
            "fax_number": "347-679-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGERTER",
        "first_name": "ALEXANDER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.015410",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "301583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.