Individual provider Active NPI

Angelice L. Alexander-Martin, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbus, OH
National Provider Identifier
1427150424
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
35-080261 Issued in OH
Practice address
2975 Donnylane Blvd
Columbus, OH 43235-3228
Phone
(614) 442-2600
Fax
(614) 442-1600
NPI assigned
Sep 1, 2006
Last updated
Jan 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-080261 OH
Addiction Medicine (Family Medicine) Physician 207QA0401X 35080261 OH
Obesity Medicine (Family Medicine) Physician 207QB0002X 35080261 OH
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 35-080261 OH Primary

Addresses

Primary practice location

2975 Donnylane Blvd
Columbus, OH 43235-3228

Mailing address

2975 Donnylane Blvd
Columbus, OH 43235-3228
Phone (614) 442-2600

Other identifiers 7

IdentifierTypeStateIssuer
032021509-00OtherOHBWC
7355546OtherOHAETNA
106506OtherOHNATIONWIDE HEALTH PLANS
000000295047OtherOHANTHEM BLUE CROSS BLUE SH
01-11291OtherOHUNITED HEALTHCARE
2364801MedicaidOH
350809868001OtherOHMEDICAL MUTUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20051004001154 OH Practitioner - Addiction MedicinePractitioner - Family Practice 7214962695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Family Practice
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2975 Donnylane Blvd
Columbus, OH 43235-3228
Phone (614) 442-2600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-080261OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Health Services LLC CurrentSince Jun 1, 2021 Accepting new patients
Oral & Facial Surgery for Adults & Children LLC PastSince Nov 1, 2019 Accepting new patients

Locations

1161 Bethel Rd
Ste 303
Columbus, OH 43220
Phone (614) 442-2600

2975 Donnylane Blvd
Columbus, OH 43235
Phone (614) 336-8380

Interoperability endpoints

  • Direct secure messaging: dralexander@psl-oh.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1427150424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 DONNYLANE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432353228",
            "telephone_number": "614-442-2600",
            "fax_number": "614-442-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 DONNYLANE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432353228",
            "telephone_number": "614-442-2600",
            "fax_number": "614-442-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER-MARTIN",
        "first_name": "ANGELICE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-080261",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35080261",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "OH",
            "license": "35080261",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35-080261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "032021509-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7355546",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE HEALTH PLANS",
            "identifier": "106506",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000295047",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "01-11291",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2364801",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "350809868001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.