Individual provider Active NPI

Alexander Krishtul, M.D.

  • Family Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1316918147
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME111303 Issued in FL
Practice address
1205 N University Dr
Coral Springs, FL 33071-6620
Phone
(954) 780-8135
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME111303 FL Primary

Addresses

Primary practice location

1205 N University Dr
Coral Springs, FL 33071-6620

Mailing address

1205 N University Dr
Coral Springs, FL 33071-6620
Phone (917) 545-0262

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121128000619 FL Practitioner - Family Practice 1355359670 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME111303FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solantic of Jacksonville, LLC Multi-Specialty CurrentSince Oct 9, 2012 Accepting new patients
Solantic/South Florida, LLC Multi-Specialty CurrentSince Oct 9, 2012 Accepting new patients
Shands/Solantic Joint Venture, LLC Multi-Specialty CurrentSince Oct 9, 2012 Accepting new patients
West Boynton Urgent Care, LLC Multi-Specialty CurrentSince Apr 24, 2017 Accepting new patients
Hma/Solantic Joint Venture, LLC Multi-Specialty CurrentSince Oct 9, 2012 Accepting new patients
Tenet-Solantic Joint Venture LLC Multi-Specialty PastSince Nov 22, 2010 Accepting new patients
New York Walk-in Medical Group, PC Multi-Specialty Past Accepting new patients

Locations

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1205 N University Dr
Pompano Beach, FL 33071
Phone (954) 780-8134

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

115 Eastpark Dr
Ste 300
Brentwood, TN 37027

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1316918147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716620",
            "telephone_number": "917-545-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716620",
            "telephone_number": "954-780-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHTUL",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME111303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.