Individual provider Active NPI

Alexandria Joann Haselhorst

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Chicago, IL
National Provider Identifier
1194103036
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
S4490 Issued in TX
Practice address
355 E Erie St
Chicago, IL 60611-3167
Phone
(312) 238-2870
Fax
(312) 238-1219
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X S4490 TX Primary

Addresses

Primary practice location

355 E Erie St
Chicago, IL 60611-3167

Mailing address

1600 W 38TH St Ste 312
Austin, TX 78731-6406
Phone (512) 324-7131

Other practice location 1

1600 W 38th St Ste 312
Austin, TX 78731-6406
Phone (512) 324-7131

Other identifiers 1

IdentifierTypeStateIssuer
S4490OtherTXTEXAS MEDICAL LICENSE

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
I20200615001354 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 4880016187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

201 Seton Pkwy
Tri County Prac Assoc
Round Rock, TX 78665-8000
Phone (512) 324-4000

Hospital & facility affiliations

  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
  • Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S4490TXMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jul 1, 2020 Accepting new patients
Seton Family of Doctors Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

1600 W 38th St
Ste 308
Austin, TX 78731

1600 W 38th St
Ste 312
Austin, TX 78731
Phone (512) 324-7131

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

Interoperability endpoints

  • Direct secure messaging: alexandria.haselhorst.2@8363.direct.athenahealth.com
  • Direct secure messaging: alexandria.haselhorst.1@8363.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194103036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 312",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316406",
            "telephone_number": "512-324-7131",
            "fax_number": "512-324-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113167",
            "telephone_number": "312-238-2870",
            "fax_number": "312-238-1219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W 38th St Ste 312",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787316406",
            "country_code": "US",
            "telephone_number": "512-324-7131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASELHORST",
        "first_name": "ALEXANDRIA",
        "middle_name": "JOANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "S4490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "S4490",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.