Sheeba A Alexander, MD
Individual provider Active NPI Pediatrics Physician · Temple, TX
NPI 1366575201 · NPPES record last updated Sep 4, 2020
Key facts
- NPI
- 1366575201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- R1687 (TX)
- Practice address
- 1901 SW H K Dodgen Loop
Temple, TX 76502-1814 - Phone
- (512) 935-4000
- Fax
- (254) 935-4111
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- New York Medical College, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Scott and White Clinic
Practice addresses (Care Compare)
1901 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (254) 724-5437
1901 SW H K Dodgen LP BLDG
300 Baylor Scott and White McLane Childre
Temple, TX 76502-1814
Phone (254) 724-5437
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200109002542 | TX | Practitioner - Pediatric Medicine | 9739360579 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA081668 | NJ | MD | Pediatrics Physician |
| R1687 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Pediatrics | Current |
Accepting new patients |
| Scott & White Clinic | Pediatrics | Current |
Accepting new patients |
| Scott & White Memorial Hospital | Past | Accepting new patients | |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
1901 SW H K Dodgen Loop
Temple, TX 76502
Phone (254) 742-9256
Interoperability endpoints
- salexander275958@direct.sw.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA081668 | NJ | |
| Pediatrics Physician | 208000000X | 241775 | NY | |
| Pediatrics Physician | 208000000X | R1687 | TX | Yes |
Addresses
Primary practice location
1901 SW H K Dodgen Loop
Temple, TX 76502-1814
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241775 | Other | NY | LICENSE |
| 0166375 | Medicaid | NJ |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | salexander275958@direct.sw.org | Direct |
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.