Individual provider Active NPI

Michael Louis Alexander Jr., PA-C

  • Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1275001406
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111581 Issued in FL
Practice address
1940 NE 47TH St Ste 1
Fort Lauderdale, FL 33308-7711
Phone
(954) 772-4553
NPI assigned
Nov 6, 2018
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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 PA9111581 FL Primary

Addresses

Primary practice location

1940 NE 47TH St Ste 1
Fort Lauderdale, FL 33308-7711

Mailing address

PO Box 936535
Atlanta, GA 31193-6535
Phone (615) 657-4805

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
I20190306001679 FL Practitioner - Physician Assistant 1759620966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

1419 SE 8TH Ter
Cape Coral, FL 33990-3213
Phone (239) 772-3202

2721 Del Prado Blvd S
Cape Coral, FL 33904-5783

730 Goodlette Rd
Suite 201
Naples, FL 34102-5618
Phone (239) 263-4499

8931 Colonial Ctr Dr
Fort Myers, FL 33905-7809

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince Feb 1, 2019 Accepting new patients
21St Centrury Oncology LLC CurrentSince Oct 16, 2023 Accepting new patients
Holy Cross Hospital Inc CurrentSince Feb 1, 2019 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Oct 16, 2023 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Locations

2721 Del Prado Blvd S
Ste 200
Cape Coral, FL 33904
Phone (239) 458-6677

2721 Del Prado Blvd S
Ste 220
Cape Coral, FL 33904
Phone (239) 226-2727

8931 Colonial Center Dr
Ste 100
Fort Myers, FL 33905
Phone (239) 226-2727

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1940 NE 47th St
#1
Ft Lauderdale, FL 33308
Phone (954) 771-3220

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

18900 N Tamiami Trl
Ste 12
North Ft Myers, FL 33903
Phone (239) 458-1196

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 3

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": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1275001406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936535",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936535",
            "telephone_number": "615-657-4805",
            "fax_number": "954-337-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 NE 47TH ST STE 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087711",
            "telephone_number": "954-772-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-06",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.