Individual provider Active NPI

Alexandra Dubikovsky Golden, MD

  • Anesthesiology Physician
  • Portland, OR
National Provider Identifier
1215355714
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD197071 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-7641
Fax
(503) 494-8368
NPI assigned
Apr 1, 2014
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD197071 OR Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD197071 OR
Pain Medicine (Anesthesiology) Physician 207LP2900X T5571 TX

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

5520 LBJ Fwy Ste 290
Dallas, TX 75240-6246
Phone (972) 636-5727

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
I20221017002768 TX Practitioner - AnesthesiologyPractitioner - Pain Management 1153624119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Rush Medical College of Rush University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imed Physician Network, Inc.Group PAC ID 6608103155, 45 clinicians

Practice addresses (Care Compare)

2700 W Pleasant Run Rd
Suite 340
Lancaster, TX 75146-1074
Phone (469) 284-0782

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Physician Network, Inc. CurrentSince Jul 10, 2025 Accepting new patients
Solar Health, P.a. CurrentSince Sep 1, 2022 Accepting new patients
Solar Health, P.a. CurrentSince Sep 1, 2022 Accepting new patients

Locations

8100 John W Carpenter Fwy
Ste 150
Dallas, TX 75247
Phone (972) 672-4895

4101 Wesley St
Ste B
Greenville, TX 75401
Phone (903) 454-7555

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

910 N Galloway Ave
#302
Mesquite, TX 75149
Phone (972) 301-8897

811 S Central Expy
Ste 103
Richardson, TX 75080
Phone (972) 310-7121

3013 Ridge Rd
#101
Rockwall, TX 75032
Phone (214) 345-2318

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1215355714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 LBJ FWY STE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406246",
            "telephone_number": "972-636-5727",
            "fax_number": "972-408-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7641",
            "fax_number": "503-494-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "ALEXANDRA",
        "middle_name": "DUBIKOVSKY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD197071",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OR",
            "license": "MD197071",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "T5571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.