Active NPI
Alex Anderson, M.D.
- Sports Medicine (Family Medicine) Physician
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 208128
- Practice address
- 1747 Imperial Blvd
Lake Charles, LA 70605-5362 - Phone
- (337) 721-7236
- Fax
- (337) 721-7237
- NPI assigned
- Apr 23, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Lake Charles, LA
- NPI 1538703335
-
- Orthopaedic Surgery Physician
- Lake Charles, LA
- NPI 1134877392
-
- Family Medicine Physician
- Lake Charles, LA
- NPI 1326396375
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1093927105
Care Compare affiliation Hospital -
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1205040995
Care Compare affiliation Hospital -
- Student Health Clinic/Center
- Grand Chenier, LA
- NPI 1407068299
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1548796378
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1629076468
Care Compare affiliation Hospital -
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1710191473
Care Compare affiliation Hospital -
- Rehabilitation Hospital Unit
- Lake Charles, LA
- NPI 1801895644
Care Compare affiliation Inpatient rehabilitation facility -
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Care Compare affiliation Hospital -
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Orthopaedics and Spine LLC
Practice addresses (Care Compare)
1747 Imperial Blvd
Lake Charles, LA 70605-5362
Phone (337) 721-7236
Hospital & facility affiliations
- Lake Charles Memorial Hospital
- Christus Ochsner St Patrick Hospital
- Christus Ochsner Lake Area Hospital
- Christus St Patrick Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.95 of 100
- Quality
- 47.57
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 81.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 93 |
| Removal of skin lesions | 15 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180718001114 | LA | Practitioner - Family Practice | 6305062431 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208128 | LA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopaedics and Spine LLC | Sports Medicine | Current | Accepting new patients |
| Center for Orthopaedics and Spine LLC | Sports Medicine | Current | Accepting new patients |
| Imperial Health LLP | Past | Accepting new patients |
Locations
1355 Sam Houston Jones Pkwy
Ste 340
Lake Charles, LA 70611
Phone (337) 721-7236
1747 Imperial Blvd
Ste B
Lake Charles, LA 70605
Phone (337) 312-8284
501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258
1747 Imperial Blvd
Lake Charles, LA 70605
Phone (337) 721-7236
Interoperability endpoints
- aanderson@direct.centerforortho.com
- aanderson5311879@direct.casso.us.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 208128 | LA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1747 Imperial Blvd
Lake Charles, LA 70605-5362
Mailing address
1747 Imperial Blvd
Lake Charles, LA 70605-5362
Phone (337) 721-7236
Other practice location 1
1525 Oak Park Blvd.
Lake Charles, LA 70601
Phone (337) 494-6767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2019.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1295155778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1747 IMPERIAL BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055362",
"telephone_number": "337-721-7236",
"fax_number": "337-721-7237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 IMPERIAL BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055362",
"telephone_number": "337-721-7236",
"fax_number": "337-721-7237"
}
],
"practiceLocations": [
{
"address_1": "1525 Oak Park Blvd.",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "70601",
"country_code": "US",
"telephone_number": "337-494-6767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "ALEX",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-23",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "LA",
"license": "208128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.