Miriam T. Alexander, MD
Individual provider Active NPI Hospitalist Physician · Fort Worth, TX
NPI 1275976185 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1275976185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- R1686 (TX)
- Practice address
- 801 7TH Ave
Fort Worth, TX 76104-2733 - Phone
- (682) 885-3817
- NPI assigned
- Apr 10, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180321000651 | TX | Practitioner - Pediatric Medicine | 4688970221 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302462 | LA | MD | Pediatrics Physician |
| R1686 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children'S Physician Network | Pediatrics | Current |
Accepting new patients |
| Cook Children'S Physician Network | Pediatrics | Current |
Accepting new patients |
| Cook Children'S Medical Center | Past | Accepting new patients |
Locations
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
Interoperability endpoints
- malexander83820@cookchildrens.direct-ci.com
- miriam.alexander@ffhc.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R1686 | TX | |
| Pediatrics Physician | 208000000X | 302462 | LA | |
| Hospitalist Physician | 208M00000X | R1686 | TX | Yes |
Addresses
Primary practice location
801 7TH Ave
Fort Worth, TX 76104-2733
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1860
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | malexander83820@CookChildrens.direct-ci.com |
Other providers in Fort Worth, TX
- Judith Ann Alexander
- Kristen P Alexander
- Larry Alexander
- Lawrence N Alexander
- Leigh Alexander
- Rekha Daniel Alexander
- Ryan M Alexander
- Samantha Alexander
- Stacia Lynn Alexander
- Tamara Beth Alexander
All providers in Fort Worth, TX · Hospitalist Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.