Individual provider Active NPI

Bobby Simon Alexander, M.D.

  • Urology Physician
  • Palm Desert, CA
National Provider Identifier
1235575903
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A136864 Issued in CA
Practice address
72650 Fred Waring Dr Ste 102
Palm Desert, CA 92260-5007
Phone
(760) 346-1133
Fax
(760) 346-8857
NPI assigned
May 21, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 269558 NY
Urology Physician 208800000X A136864 CA Primary

Addresses

Primary practice location

72650 Fred Waring Dr Ste 102
Palm Desert, CA 92260-5007

Mailing address

72650 Fred Waring Dr Ste 102
Palm Desert, CA 92260-5007
Phone (760) 346-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150827000490 CA Practitioner - Urology 9638485220 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York Downstate Medical Center, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urologic Institute of the High Desert IncGroup PAC ID 3476681008, 11 clinicians
Palm Valley Multi-Specialty Medical Group PCGroup PAC ID 8628412418, 17 clinicians

Practice addresses (Care Compare)

18300 US Hwy 18
Apple Valley, CA 92307-2206
Phone (760) 242-2311

18400 US Hwy 18
Apple Valley, CA 92307-2306
Phone (760) 242-3939

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

47111 Monroe St
Indio, CA 92201-6739
Phone (760) 347-6191

72650 Fred Waring Dr
Palm Desert, CA 92260-5007

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as group
Quality
84.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136864CAMDClinical Social Worker
A136864CAMDUrology Physician
269558NYMDUrology Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Halo Medical Group Urology CurrentSince Feb 15, 2022 Accepting new patients
Palm Valley Multi-Specialty Medical Group PC Urology CurrentSince Feb 1, 2024 Accepting new patients
Emergency Associates Corporation CurrentSince Jun 1, 2016 Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients
HMG Urology PC Urology Past Accepting new patients

Locations

18092 Wika Rd
Ste 220
Apple Valley, CA 92307
Phone (760) 515-6260

18400 US Highway 18
Ste A
Apple Valley, CA 92307
Phone (951) 302-1576

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

1720 Esplanade
Chico, CA 95926
Phone (530) 898-0500

74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329

74785 US Highway 111
Ste 100
Indian Wells, CA 92210
Phone (760) 346-3932

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

81800 Doctor Carreon Blvd
Ste C
Indio, CA 92201
Phone (760) 863-4085

79440 Corporate Center Dr
Ste 102
La Quinta, CA 92253
Phone (760) 610-8640

72650 Fred Waring Dr
Ste 103
Palm Desert, CA 92260
Phone (760) 810-7587

72650 Fred Waring Dr
Ste 204
Palm Desert, CA 92260
Phone (760) 324-3000

72650 Fred Waring Dr
Ste 104
Palm Desert, CA 92260
Phone (650) 282-0757

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1133 N Palm Canyon Dr
Ste B
Palm Springs, CA 92262
Phone (760) 322-8883

1221 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 325-5255

39000 Bob Hope Dr
Ste P303
Rancho Mirage, CA 92270
Phone (760) 346-8857

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1235575903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72650 FRED WARING DR STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605007",
            "telephone_number": "760-346-1133",
            "fax_number": "760-346-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72650 FRED WARING DR STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605007",
            "telephone_number": "760-346-1133",
            "fax_number": "760-346-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "BOBBY",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "269558",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A136864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.