Individual provider Active NPI

Francesco D'Alessandro, MD-PHD

  • Dermatology Physician
  • Klamath Falls, OR
National Provider Identifier
1457354136
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD151399 Issued in OR
Practice address
3000 Bryant Williams Dr Ste 100
Klamath Falls, OR 97601-1139
Phone
(541) 274-8908
Fax
(541) 274-8908
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A 86773 CA
Dermatology Physician 207N00000X MD60085709 WA
Dermatology Physician 207N00000X MD151399 OR Primary

Addresses

Primary practice location

3000 Bryant Williams Dr Ste 100
Klamath Falls, OR 97601-1139

Mailing address

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (509) 525-3720

Other identifiers 1

IdentifierTypeStateIssuer
MD151399OtherORSTATE OF OREGON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 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
I20041015000801 CA Practitioner - DermatologyPractitioner - Other (Physician) 5799745410 Practice locations: Jackson, CA
I20160420000490 OR Practitioner - Dermatology 5799745410 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Apr 11, 2016 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Apr 11, 2016 Accepting new patients
David R Bruce DO Inc Dermatology Past Accepting new patients

Locations

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

3000 Bryant Williams Dr
Ste 100
Klamath Falls, OR 97601
Phone (541) 274-8900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1457354136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011106",
            "telephone_number": "509-525-3720",
            "fax_number": "509-522-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BRYANT WILLIAMS DR STE 100",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011139",
            "telephone_number": "541-274-8908",
            "fax_number": "541-274-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALESSANDRO",
        "first_name": "FRANCESCO",
        "name_prefix": "Dr.",
        "credential": "MD-PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A 86773",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD60085709",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD151399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OREGON",
            "identifier": "MD151399",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.