Individual provider Active NPI

Alexandra Janine Smith, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1528301108
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101257431 Issued in VA
Practice address
Brooke Army Medical Center
3551 Roger Brooke Drive
San Antonio, TX 78234-4504
Phone
(210) 916-0935
Fax
(210) 916-3051
NPI assigned
Apr 1, 2013
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101257431 VA
Cardiovascular Disease Physician 207RC0000X 0101257431 VA Primary

Addresses

Primary practice location

Brooke Army Medical Center
3551 Roger Brooke Drive
San Antonio, TX 78234-4504

Mailing address

959TH Medical Operations Squadron Jbsa
3551 Roger Brooke Drive
San Antonio, TX 78234-4504
Phone (210) 916-3710

Other practice location 1

59 MDW/Ge
1100 Wilford Hall Loop, Bldg 4554
JBSA Lackland, TX 78236
Phone (210) 916-0935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Madison Ave
Toledo, OH 43604-1516

5308 Harroun Rd
Suite 165
Sylvania, OH 43560-2174

730 N Macomb St
Monroe, MI 48162-2904

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101257431VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Southwest Louisiana Past Accepting new patients

Organizations & group practices 1

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1528301108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959TH MEDICAL OPERATIONS SQUADRON JBSA",
            "address_2": "3551 ROGER BROOKE DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-3710",
            "fax_number": "210-916-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER",
            "address_2": "3551 ROGER BROOKE DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-0935",
            "fax_number": "210-916-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 MDW/GE",
            "address_2": "1100 Wilford Hall Loop, Bldg 4554",
            "address_purpose": "LOCATION",
            "city": "JBSA Lackland",
            "state": "TX",
            "postal_code": "78236",
            "country_code": "US",
            "telephone_number": "210-916-0935",
            "fax_number": "210-916-3051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXANDRA",
        "middle_name": "JANINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101257431",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101257431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.