Individual provider Active NPI

Alexis Patsias, M.D.

  • Otolaryngology Physician
  • La Mesa, CA
National Provider Identifier
1326452855
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A160436 Issued in CA
Practice address
5565 Grossmont Center Dr Ste 101
La Mesa, CA 91942-3021
Phone
(619) 464-3353
NPI assigned
Jun 12, 2014
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X A160436 CA Primary
Otolaryngology Physician 207Y00000X 30671 OK

Addresses

Primary practice location

5565 Grossmont Center Dr Ste 101
La Mesa, CA 91942-3021

Mailing address

5565 Grossmont Center Dr Ste 101
La Mesa, CA 91942-3021
Phone (619) 464-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191017002225 CA Practitioner - Otolaryngology 1153613492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5565 Grossmont Ctr Dr
Suite 101
La Mesa, CA 91942-3021
Phone (619) 464-3353

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.5 of 100Reported as group
Quality
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160436CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation Single Specialty CurrentSince Nov 2, 2019 Accepting new patients
Scripps Health Current Accepting new patients
Ear Nose and Throat Associates of San Diego a Medical Corp Single Specialty CurrentSince Jun 1, 2019 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients

Locations

2060 Otay Lakes Rd
Ste 140
Chula Vista, CA 91913

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

1955 Citracado Pkwy
Escondido, CA 92029
Phone (760) 738-1715

1955 Citracado Pkwy
Ste 303
Escondido, CA 92029

5565 Grossmont Center Dr
Ste 101
La Mesa, CA 91942
Phone (619) 464-3353

5565 Grossmont Center Dr
Ste 3
La Mesa, CA 91942
Phone (619) 465-3443

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: apatsias319853@scrippshlth.medalliesdirect.net

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 2

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1326452855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 101",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423021",
            "telephone_number": "619-464-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 101",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423021",
            "telephone_number": "619-464-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATSIAS",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A160436",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "30671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.