Individual provider Active NPI

Michael Anthony Alexander, D.O.

  • Family Medicine Physician
  • Henrico, VA
National Provider Identifier
1366779837
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102202758 Issued in VA
Practice address
9175 Staples Mill Rd
Henrico, VA 23228-2027
Phone
(804) 944-4576
Fax
(804) 944-4534
NPI assigned
Nov 4, 2009
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102202758 VA Primary

Addresses

Primary practice location

9175 Staples Mill Rd
Henrico, VA 23228-2027

Mailing address

PO Box 2255
Kilmarnock, VA 22482-2255
Phone (804) 435-8570

Other practice location 1

422 Merchant St
Ambridge, PA 15003-2405
Phone (724) 318-8793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100416000382 PA Practitioner - Family PracticePractitioner - Addiction Medicine 5799812137 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearfield-Jefferson Primary Care Associates PCGroup PAC ID 6002064433, 73 clinicians
Five Star Medical Services LLCGroup PAC ID 0244508786, 2 clinicians

Practice addresses (Care Compare)

33 Beaver Dr
Suite 1
Du Bois, PA 15801-2434
Phone (814) 503-8070

422 Merchant St
Ambridge, PA 15003-2405
Phone (724) 318-8793

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Five Star Medical Services LLC Family Medicine CurrentSince May 1, 2017 Accepting new patients
Violet Valley Long Term Care PC CurrentSince Aug 18, 2025 Accepting new patients
Suburban Geriatrics, Inc. CurrentSince May 1, 2025 Accepting new patients
Clearfield-Jefferson Primary Care Associates PC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Medexpress Urgent Care, PC - Monaca Past Accepting new patients

Locations

422 Merchant St
Ambridge, PA 15003
Phone (724) 318-8793

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

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.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1366779837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2255",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224822255",
            "telephone_number": "804-435-8570",
            "fax_number": "804-435-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9175 STAPLES MILL RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282027",
            "telephone_number": "804-944-4576",
            "fax_number": "804-944-4534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 Merchant St",
            "address_purpose": "LOCATION",
            "city": "Ambridge",
            "state": "PA",
            "postal_code": "150032405",
            "country_code": "US",
            "telephone_number": "724-318-8793",
            "fax_number": "724-385-0278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102202758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.