Individual provider Active NPI

Tiffany Carolyn Alexander, MD

  • Emergency Medicine Physician
  • Auburn, IN
National Provider Identifier
1508183476
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01084184A Issued in IN
Practice address
1316 E 7TH St
Auburn, IN 46706-2538
Phone
(260) 925-4600
NPI assigned
Apr 30, 2010
Last updated
Jul 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD0000049505 TN
Emergency Medicine Physician 207P00000X 01084184A IN Primary

Addresses

Primary practice location

1316 E 7TH St
Auburn, IN 46706-2538

Mailing address

606 S Lake St
Hamilton, IN 46742-9678
Phone (765) 546-7208

Other practice location 1

401 N Sawyer Rd
Kendallville, IN 46755-2568
Phone (260) 347-8700

Other names 1

  • Tiffany Carolyn Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200709002779 IN Practitioner - Emergency Medicine 8729220884 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.02 of 100Reported as group
Quality
74.88
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.38 of 100Reported as group
Quality
87.23
Promoting interoperability
100
Improvement activities
40
Cost
83.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000049505TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Wabash Hospital, Inc. Current Accepting new patients
Community Hospital of Lagrange County Inc Current Accepting new patients

Locations

207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300

10 John Kissinger Dr
Wabash, IN 46992
Phone (260) 424-2195

Interoperability endpoints

  • Direct secure messaging: talexander36102@direct.vumc.org

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, 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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1508183476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S LAKE ST",
            "city": "HAMILTON",
            "state": "IN",
            "postal_code": "467429678",
            "telephone_number": "765-546-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 E 7TH ST",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062538",
            "telephone_number": "260-925-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Sawyer Rd",
            "address_purpose": "LOCATION",
            "city": "Kendallville",
            "state": "IN",
            "postal_code": "467552568",
            "country_code": "US",
            "telephone_number": "260-347-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "TIFFANY",
        "middle_name": "CAROLYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000049505",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01084184A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WILLIAMS",
            "middle_name": "CAROLYN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, IN

Sources for this page

Verify at the official NPI Registry.