NPIMap

Individual provider Active NPI

Alexander Paul Iezza, M.D.

  • Orthopaedic Surgery Physician
  • Santa Rosa, CA
National Provider Identifier
1265550743
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A92670 Issued in CA
Practice address
208 Concourse Blvd Ste 1
Santa Rosa, CA 95403-8210
Phone
(707) 544-3400
Fax
(707) 544-0137
NPI assigned
Mar 26, 2007
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A92670 CA Primary

Addresses

Primary practice location

208 Concourse Blvd Ste 1
Santa Rosa, CA 95403-8210

Mailing address

950 Alice LN Apt #3
Menlo Park, CA 94025
Phone (650) 248-5443

Other identifiers 1

IdentifierTypeStateIssuer
00A92670MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aiezza@ROSA2015.srs-direct.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070418000255 CA Practitioner - Orthopedic Surgery 3870698947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redwood Orthopaedic Surgery Associates AMCGroup PAC ID 1850336157, 12 clinicians

Practice addresses (Care Compare)

208 Concourse Blvd
Suite 1
Santa Rosa, CA 95403-8210
Phone (707) 544-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.69 of 100Reported as group
Quality
72.71
Promoting interoperability
100
Improvement activities
40
Cost
76.27

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Spinal fusion151
Laminectomy or laminotomy (partial removal of spine bones)69
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92670CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Orthopaedic Surgery Associates AMC Orthopaedic Surgery CurrentSince Sep 7, 2010 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Willits Hospital Inc. Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

208 Concourse Blvd
#1
Santa Rosa, CA 95403
Phone (707) 544-3400

Interoperability endpoints

  • Direct secure messaging: aiezza@rosa2015.srs-direct.com
  • Direct secure messaging: aiezza209044@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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 7

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1265550743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 ALICE LN APT #3",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "94025",
            "telephone_number": "650-248-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CONCOURSE BLVD STE 1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038210",
            "telephone_number": "707-544-3400",
            "fax_number": "707-544-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IEZZA",
        "first_name": "ALEXANDER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A92670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A92670",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aiezza@ROSA2015.srs-direct.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "208 Concourse Blvd Ste 1",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954038210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.