Individual provider Active NPI

Alexander Starek, PA-C

  • Physician Assistant
  • Port Saint Lucie, FL
National Provider Identifier
1265946669
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110765 Issued in FL
Practice address
7710 S US Highway 1
Port Saint Lucie, FL 34952-2320
Phone
(772) 335-5300
Fax
(772) 873-3004
NPI assigned
Nov 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110765 FL Primary

Addresses

Primary practice location

7710 S US Highway 1
Port Saint Lucie, FL 34952-2320

Mailing address

7710 S US Highway 1
Port Saint Lucie, FL 34952-2320
Phone (772) 335-5300

Other practice location 1

2220 SE Ocean Blvd Ste 302
Stuart, FL 34996-3301
Phone (772) 283-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180601000105 FL Practitioner - Physician Assistant 9133484728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Pierce Orthopaedics LLCGroup PAC ID 2062515018, 19 clinicians

Practice addresses (Care Compare)

1700 S 23Rd St
HCA Florida Lawnwood Hospital
Fort Pierce, FL 34950-4803
Phone (772) 461-4000

2402 Frist Blvd
Fort Pierce, FL 34950-4838

Hospital & facility affiliations

  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9110765FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Romagosa Dermatology Group LLC PastSince Nov 4, 2025 Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: astarek@cos.directglo.com

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 and National Provider Directory roles.

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265946669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 S US HIGHWAY 1",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349522320",
            "telephone_number": "772-335-5300",
            "fax_number": "772-873-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 S US HIGHWAY 1",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349522320",
            "telephone_number": "772-335-5300",
            "fax_number": "772-873-3004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 SE Ocean Blvd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349963301",
            "country_code": "US",
            "telephone_number": "772-283-5500",
            "fax_number": "772-873-3004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAREK",
        "first_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.