Individual provider Active NPI

Alexander C Paris, PA

  • Physician Assistant
  • Worcester, MA
National Provider Identifier
1205325438
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8951 Issued in MA
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(508) 334-3452
Fax
(508) 334-7284
NPI assigned
May 3, 2018
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110006208 VA
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X PA8951 MA Primary

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other practice location 1

1870 Amherst St Ste 2B
Winchester, VA 22601-2841
Phone (540) 536-6721

Other practice location 2

2921 Telestar Ct
Falls Church, VA 22042-1205
Phone (703) 280-5858

Other practice location 3

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC, MA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180828001091 VA Practitioner - Physician Assistant 2163771916 Reassigns benefits to 2 organizations
I20210104002339 MD Practitioner - Physician Assistant 2163771916 Reassigns benefits to 1 organization
I20210806000047 DC Practitioner - Physician Assistant 2163771916 Reassigns benefits to 1 organization
I20221012003788 MA Practitioner - Physician Assistant 2163771916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

8503 Arlington Blvd
Fairfax, VA 22031-4628
Phone (703) 970-2670

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA8951MAMDPhysician Assistant
0110006208VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Oct 26, 2024 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jul 25, 2018 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jul 25, 2018 Accepting new patients
Winchester Medical Center Current Accepting new patients
Inova Health Care Services CurrentSince Jul 26, 2021 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 5, 2021 Accepting new patients
Winchester Medical Center CurrentSince Oct 26, 2024 Accepting new patients
Lewis Gale Physicians LLC CurrentSince Nov 1, 2025 Accepting new patients
Inova Health Care Services CurrentSince Jul 26, 2021 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 5, 2021 Accepting new patients
Lewis Gale Physicians LLC Past Accepting new patients

Locations

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

8503 Arlington Blvd
Fairfax, VA 22031
Phone (703) 970-2670

2921 Telestar Ct
Falls Church, VA 22042
Phone (703) 591-1280

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1870 Amherst St
Ste 2B
Winchester, VA 22601
Phone (540) 536-6721

220 Campus Blvd
Ste 320
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: aparis581396@valleyhealth.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1205325438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-3452",
            "fax_number": "508-334-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 Amherst St Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012841",
            "country_code": "US",
            "telephone_number": "540-536-6721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2921 Telestar Ct",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220421205",
            "country_code": "US",
            "telephone_number": "703-280-5858",
            "fax_number": "703-849-0874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARIS",
        "first_name": "ALEXANDER",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006208",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.