Alexander Podolsky, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301105878 Issued in MI

Practice address

2851 S Avenue B Ste 2503
Yuma, AZ 85364-7758

Phone

(928) 819-7000

Fax

(928) 336-1769

NPI assigned

Jul 11, 2014

Last updated

Jul 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Pediatric Medicine

Education

University of Arizona College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Yuma Regional Medical Center

  dba Onvida Health Yuma Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Medicare reassignment Care Compare group NPD
• Yuma Regional Medical Center

  dba Onvida Health Yuma Medical Center

  • General Practice Physician
  • Yuma, AZ
  • NPI 1598993420
  NPD
• Yuma Medical Clinic P. C

  • Internal Medicine Physician
  • Yuma, AZ
  • NPI 1568644979
  NPD (past)

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1336556265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647170",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B STE 2503",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647758",
            "telephone_number": "928-819-7000",
            "fax_number": "928-336-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODOLSKY",
        "first_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301105878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David William Platt Jr., RPH
• Sandra J Pliska, COTA/L
• Shelley Simson Plotkin, LMFT
• George Plumlee
• PM&R of Yuma PLLC
• Thomas L Podolsky, M.D.
• Veneda Tawana Polite, CRNA
• Lexie Poole
• Shannon Portz Robinson
• Mary Kathleen Powell, FNP

• Pediatrics Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.

Verify at the official NPI Registry.