Active NPI
Annetta Cheryl Alexander, M.D
- Internal Medicine Physician
- Vero Beach, FL
National Provider Identifier
1356545131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2011-01282
- Practice address
- 4165 9TH St SW
Vero Beach, FL 32968-4878 - Phone
- (772) 569-7706
- Fax
- (772) 569-7752
- NPI assigned
- Jun 13, 2007
- Last updated
- Feb 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2011-01282 | NC | Primary |
| Pediatrics Physician | 208000000X | 2011-01282 | NC |
Addresses
Primary practice location
4165 9TH St SW
Vero Beach, FL 32968-4878
Mailing address
4165 9TH St SW
Vero Beach, FL 32968-4878
Phone (772) 569-7706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5918705 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220225000983 | VI | Practitioner - Internal Medicine | 7911171012 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Frederiksted Health Care, Inc.
Practice addresses (Care Compare)
516 Strand St
Frederiksted, VI 00840-3533
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- annettsa.alexnder.d1.p1@direct.frederikstedhealthvi.nextgenshare.com
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Christiansted, St. Croix, VI
- NPI 1972503647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1356545131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4165 9TH ST SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329684878",
"telephone_number": "772-569-7706",
"fax_number": "772-569-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4165 9TH ST SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329684878",
"telephone_number": "772-569-7706",
"fax_number": "772-569-7752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "ANNETTA",
"middle_name": "CHERYL",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2011-01282",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2011-01282",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5918705",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.