Individual provider Active NPI

Alexander Edward Loeb, M.D.

  • Orthopaedic Surgery Physician
  • Tallahassee, FL
National Provider Identifier
1417301789
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME157005 Issued in FL
Practice address
1911 Miccosukee Rd
Tallahassee, FL 32308-5321
Phone
(850) 878-2549
Fax
(850) 878-9347
NPI assigned
Apr 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2772 MD
Orthopaedic Surgery Physician 207X00000X MD.42241 AL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD.42241 AL
Orthopaedic Surgery Physician 207X00000X ME157005 FL Primary

Addresses

Primary practice location

1911 Miccosukee Rd
Tallahassee, FL 32308-5321

Mailing address

1911 Miccosukee Rd
Tallahassee, FL 32308-5321
Phone (850) 878-2549

Other practice location 1

601 N Caroline St
5th Floor
Baltimore, MD 21287-0006
Phone (410) 955-5000

Other practice location 2

805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638
Phone (205) 939-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210624003539 AL Practitioner - Orthopedic Surgery 0547544686 Reassigns benefits to 1 organization
I20221020003481 FL Practitioner - Orthopedic Surgery 0547544686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Virginia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N Fla Sports Medicine and Orthopaedic Center PAGroup PAC ID 8729013040, 5 clinicians

Practice addresses (Care Compare)

1911 Miccosukee Rd
Tallahassee, FL 32308-5321
Phone (850) 878-2549

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.42241ALMDOrthopaedic Surgery Physician
ME157005FLMDOrthopaedic Surgery Physician
2772MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
STV Sports Medicine & Orthopedics LLC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
N Fla Sports Medicine and Orthopaedic Center PA Orthopaedic Surgery CurrentSince Oct 18, 2022 Accepting new patients
STV Sports Medicine & Orthopedics LLC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

805 Saint Vincents Dr
Ste 100
Birmingham, AL 35205

7201 Happy Hollow Rd
Ste 202A
Trussville, AL 35173

1911 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 877-8539

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1417301789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085321",
            "telephone_number": "850-878-2549",
            "fax_number": "850-878-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085321",
            "telephone_number": "850-878-2549",
            "fax_number": "850-878-9347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Caroline St",
            "address_2": "5th Floor",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870006",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Saint Vincents Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051638",
            "country_code": "US",
            "telephone_number": "205-939-3699",
            "fax_number": "205-581-7155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOEB",
        "first_name": "ALEXANDER",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "2772",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD.42241",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AL",
            "license": "MD.42241",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME157005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.