Individual provider Active NPI

Alexandria Marie Ukleja, M.D.

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1215342779
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017-01659 Issued in NC
Practice address
Moses Cone Hospital
1121 N Church St
Greensboro, NC 27405
Phone
(336) 951-4641
NPI assigned
Jun 24, 2014
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2017-01659 NC Primary
Adult Medicine Physician 207QA0505X 216979 NC

Addresses

Primary practice location

Moses Cone Hospital
1121 N Church St
Greensboro, NC 27405

Mailing address

400 Shelton St
Greensboro, NC 27405-5655
Phone (203) 809-6446

Other practice location 1

1522 East A Street
University of Wyoming FMRP- Casper
Casper, WY 82601
Phone (307) 234-6161

Other practice location 2

1307 W Wendover Ave
Greensboro, NC 27408-8117
Phone (336) 832-3110

Other names 1

  • Alexandria Ukleja Kadolph Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aukleja335747@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20171102003459 NC Practitioner - Family Practice 7214156868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-01659NCMDFamily Medicine Physician
216979NCMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Multi-Specialty Current Accepting new patients
Moses Cone Physician Services Inc Multi-Specialty CurrentSince Aug 22, 2017 Accepting new patients
Moses Cone Physician Services, Inc. Multi-Specialty CurrentSince Aug 22, 2017 Accepting new patients
Moses Cone Physician Services, Inc. Multi-Specialty Past Accepting new patients
Moses Cone Affiliated Physicians, Inc Multi-Specialty Past Accepting new patients
Randolph Hospital Inc. Multi-Specialty Past Accepting new patients

Locations

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1200 N Elm St
Ste 5
Greensboro, NC 27401

1307 W Wendover Ave
Greensboro, NC 27408
Phone (336) 832-3110

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

Interoperability endpoints

  • Direct secure messaging: aukleja335747@direct.conehealth.com

Organizations & group practices 6

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1215342779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHELTON ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055655",
            "telephone_number": "203-809-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOSES CONE HOSPITAL",
            "address_2": "1121 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27405",
            "telephone_number": "336-951-4641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1522 East A Street",
            "address_2": "University of Wyoming FMRP- Casper",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "82601",
            "country_code": "US",
            "telephone_number": "307-234-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1307 W Wendover Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274088117",
            "country_code": "US",
            "telephone_number": "336-832-3110",
            "fax_number": "336-832-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UKLEJA",
        "first_name": "ALEXANDRIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-01659",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "216979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aukleja335747@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1307 W Wendover Ave",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274088117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "KADOLPH",
            "middle_name": "UKLEJA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.