Individual provider Active NPI

Andrew Alexis, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1285625160
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
242192 Issued in NY
Practice address
211 E 80TH St FL 2
New York, NY 10075-0531
Phone
(646) 962-3376
NPI assigned
Oct 31, 2005
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 002025 NY
Dermatology Physician 207N00000X 242192 NY Primary
Procedural Dermatology Physician 207NS0135X 242192 NY

Addresses

Primary practice location

211 E 80TH St FL 2
New York, NY 10075-0531

Mailing address

211 E 80TH St FL 2
New York, NY 10075-0531
Phone (646) 962-3376

Other identifiers 1

IdentifierTypeStateIssuer
02587828MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040824000900 NY Practitioner - Dermatology 5193799286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

525 E 68TH St
New York, NY 10065-4870
Phone (212) 746-5454

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions301
Removal or shaving of skin growth1-10
Skin biopsy166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242192NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Dermatology CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Weill Medical College of Cornell Dermatology Current Accepting new patients
Weill Medical College of Cornell CurrentSince Apr 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Weill Medical College of Cornell Dermatology CurrentSince Apr 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Dermatology CurrentSince Oct 1, 2017 Accepting new patients
Beth Israel Medical Center Dermatology Past Accepting new patients
Weill Cornell Eye Associates Past Accepting new patients
St Lukes Roosevelt Community Care Dermatology Past Accepting new patients
Docs Physicians Affiliated With Bimc Dermatology Past Accepting new patients
St Lukes-Roosevelt Hospital Center Dermatology Past Accepting new patients

Locations

10 Nathan D Perlman Pl
New York, NY 10003
Phone (212) 420-2124

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1090 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2211

1090 Amsterdam Ave
#11D
New York, NY 10025
Phone (212) 523-3884

1090 Amsterdam Ave
Ste 11D
New York, NY 10025
Phone (212) 523-5898

211 E 80th St
Fl 2
New York, NY 10075
Phone (646) 962-6828

425 W 59th St
New York, NY 10019
Phone (212) 376-3180

425 W 59th St
Ste 5C
New York, NY 10019
Phone (212) 246-3865

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: alexisa@direct.nyp.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1285625160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 80TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750531",
            "telephone_number": "646-962-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 80TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750531",
            "telephone_number": "646-962-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXIS",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "002025",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "242192",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "242192",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02587828",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.