Individual provider Active NPI

Jamil Oliver Alexis, MD

  • Gastroenterology Physician
  • Stamford, CT
National Provider Identifier
1164927968
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
75754 Issued in CT
Practice address
1351 Washington Blvd FL 4
Stamford, CT 06902-2450
Phone
(203) 276-8490
Fax
(203) 276-7218
NPI assigned
Mar 26, 2018
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 75754 CT Primary

Addresses

Primary practice location

1351 Washington Blvd FL 4
Stamford, CT 06902-2450

Mailing address

1351 Washington Blvd FL 4
Stamford, CT 06902-2450
Phone (203) 276-8490

Other practice location 1

195 Danbury Rd
Wilton, CT 06897-4075
Phone (203) 276-8490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240514002276 CT Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - Hospitalist 2466797675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

1351 Washington Blvd
Stamford, CT 06902-2419
Phone (203) 276-8490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy43
Upper gastrointestinal (GI) endoscopy for acid reflux53

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Stamford Health Medical Group Inc CurrentSince Sep 23, 2024 Accepting new patients
Mill Hill Medical Consultants Inc Gastroenterology CurrentSince Jun 3, 2024 Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000

1351 Washington Blvd
Stamford, CT 06902
Phone (203) 276-7464

1351 Washington Blvd
Fl 4
Stamford, CT 06902
Phone (203) 276-8490

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

195 Danbury Rd
Wilton, CT 06897
Phone (203) 276-8490

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1164927968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 WASHINGTON BLVD FL 4",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022450",
            "telephone_number": "203-276-8490",
            "fax_number": "203-276-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 WASHINGTON BLVD FL 4",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022450",
            "telephone_number": "203-276-8490",
            "fax_number": "203-276-7218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Danbury Rd",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "CT",
            "postal_code": "068974075",
            "country_code": "US",
            "telephone_number": "203-276-8490",
            "fax_number": "203-276-7218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXIS",
        "first_name": "JAMIL",
        "middle_name": "OLIVER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "75754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.