Active NPI
Alexis Nicole Ghersi, MD
- Pediatrics Physician
- Fort Sam Houston, TX
National Provider Identifier
1407431141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101276943
- Practice address
- 3100 Schofield Rd BLDG 1179
Fort Sam Houston, TX 78234-7577 - Phone
- (210) 916-3160
- NPI assigned
- Mar 15, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101276943 | VA | Primary |
Addresses
Primary practice location
3100 Schofield Rd BLDG 1179
Fort Sam Houston, TX 78234-7577
Mailing address
847 E Ashby PL Apt 463
San Antonio, TX 78212-2046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20250908000722 | VA | Order and Referring Only - Pediatric Medicine | 0648772772 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1407431141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 E ASHBY PL APT 463",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782122046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SCHOFIELD RD BLDG 1179",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782347577",
"telephone_number": "210-916-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHERSI",
"first_name": "ALEXIS",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101276943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.