Individual provider Active NPI

Alexis Morvant Klock, M.D.

  • Family Medicine Physician
  • Cohasset, MA
National Provider Identifier
1215988225
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
209164 Issued in MA
Practice address
223 Chief Justice Cushing Hwy Ste 301
Cohasset, MA 02025-1391
Phone
(781) 383-6261
Fax
(781) 383-1084
NPI assigned
May 14, 2006
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 209164 MA Primary

Addresses

Primary practice location

223 Chief Justice Cushing Hwy Ste 301
Cohasset, MA 02025-1391

Mailing address

PO Box 68
S Weymouth, MA 02190-0001
Phone (780) 803-2786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050413000482 MA Practitioner - Family Practice 8628015401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare South PCGroup PAC ID 0941273262, 24 clinicians

Practice addresses (Care Compare)

223 Chief Justice Cushing Hwy 101
Cohasset, MA 02025-1391
Phone (781) 383-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.04 of 100Reported as individual
Quality
71.91
Promoting interoperability
0
Improvement activities
40
Cost
78.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209164MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare South PC Family Medicine CurrentSince May 19, 2008 Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

223 Chief Justice Cushing Hwy
Cohasset, MA 02025
Phone (781) 383-3340

223 Chief Justice Cushing Hwy
Ste 101
Cohasset, MA 02025
Phone (781) 383-6800

223 Chief Justice Cushing Hwy
Ste 301
Cohasset, MA 02025
Phone (781) 373-6261

56 New Driftway
Ste 301
Scituate, MA 02066
Phone (781) 383-6261

Interoperability endpoints

  • Direct secure messaging: alexisklock@hcs.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1147564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1215988225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "021900001",
            "telephone_number": "780-803-2786",
            "fax_number": "781-812-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 CHIEF JUSTICE CUSHING HWY STE 301",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251391",
            "telephone_number": "781-383-6261",
            "fax_number": "781-383-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOCK",
        "first_name": "ALEXIS",
        "middle_name": "MORVANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-14",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "209164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohasset, MA

Sources for this page

Verify at the official NPI Registry.