Isaac G Alexis, MD
Individual provider Active NPI General Practice Physician · Buckeye, WV
NPI 1447313762 · NPPES record last updated Jan 7, 2016
Key facts
- NPI
- 1447313762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 26005 (WV)
- Practice address
- 150 Duncan Road
Buckeye, WV 24924-9037 - Phone
- (304) 799-7400
- Fax
- (304) 799-2276
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
New York, NY 10027
Phone (646) 259-5975
Hospital & facility affiliations
- Prime Home Health Services, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20220418000952 | NY | Practitioner - Family Practice | 1658548672 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088927 | MI | MD | General Practice Physician |
| 26005 | WV | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medequipped LLC | Current |
Accepting new patients | |
| Medassist NJ II | Current |
Accepting new patients | |
| Mint Health Ny LLC | Current |
Accepting new patients | |
| Global Health Systems, Inc. | Past | Accepting new patients |
Locations
747 Chestnut Ridge Rd
Ste 205
Spring Valley, NY 10977
Phone (845) 237-2381
Interoperability endpoints
- isaac.alexis.p1@direct.toiyabe.nextgenshare.com
- isaac.alexis@pmhrhc.eclinicaldirectplus.com
- isaac.alexis@202362935902212.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 26005 | WV | Yes |
| General Practice Physician | 208D00000X | 4301088927 | MI |
Addresses
Primary practice location
150 Duncan Road
Buckeye, WV 24924-9037
Mailing address
150 Duncan Road
Buckeye, WV 24924-9037
Phone (304) 799-7400
Other providers in Buckeye, WV
All providers in Buckeye, WV · General Practice Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2016. 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.