Individual provider Active NPI

Alexandra J Gillespie, MD

  • Cytopathology Physician
  • Dallas, TX
National Provider Identifier
1154345841
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
J3482 Issued in TX
Practice address
5327 N Central Expy
Suite 300
Dallas, TX 75205-3361
Phone
(214) 219-5880
Fax
(214) 219-5881
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X J3482 TX Primary

Addresses

Primary practice location

5327 N Central Expy
Suite 300
Dallas, TX 75205-3361

Mailing address

5327 N Central Expy
Suite 300
Dallas, TX 75205-3361
Phone (214) 219-5880

Other identifiers 1

IdentifierTypeStateIssuer
220033145OtherTXMCARE RR

Other names 1

  • Jeannie L Gillespie Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lethel@pathadvantage.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110912000519 TX Practitioner - Pathology 6608047238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Un of California, Irvine, College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathadvantage, PAGroup PAC ID 1254502883, 2 clinicians

Practice addresses (Care Compare)

5327 N Central Expy
Suite 300
Dallas, TX 75205-3380
Phone (214) 219-5880

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathadvantage, PA CurrentSince Feb 15, 2002 Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Past Accepting new patients

Locations

5327 N Central Expy
Ste 300
Dallas, TX 75205
Phone (214) 219-5880

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1154345841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5327 N CENTRAL EXPY",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053361",
            "telephone_number": "214-219-5880",
            "fax_number": "214-219-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 N CENTRAL EXPY",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053361",
            "telephone_number": "214-219-5880",
            "fax_number": "214-219-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "ALEXANDRA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "TX",
            "license": "J3482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RR",
            "identifier": "220033145",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lethel@pathadvantage.com",
            "affiliation": "N",
            "endpointDescription": "Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5327 N Central Expy",
            "address_2": "SUITE 300",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752053361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JEANNIE",
            "last_name": "GILLESPIE",
            "middle_name": "L",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.