NPIMap

Individual provider Active NPI

Alexandra S Rocco, PA-C

  • Physician Assistant
  • Washington Terrace, UT
National Provider Identifier
1568633915
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6830069-1206 Issued in UT
Practice address
5782 Adams Avenue Parkway
Washington Terrace, UT 84405
Phone
(801) 917-8000
Fax
(801) 917-8001
NPI assigned
Mar 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6830069-1206 UT Primary

Addresses

Primary practice location

5782 Adams Avenue Parkway
Washington Terrace, UT 84405

Mailing address

PO Box 150087
Ogden, UT 84415-0087
Phone (801) 917-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080324000477 UT Practitioner - Physician Assistant 7416974639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Utah Orthopaedics LLCGroup PAC ID 8325170681, 5 clinicians

Practice addresses (Care Compare)

5782 Adams Ave Pkwy
Suite 200
Washington Terrace, UT 84405-6947
Phone (801) 917-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.74 of 100Reported as group
Quality
0
Improvement activities
40
Cost
75.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: utahorthopaedics.alexandrarocco@156033.advancedmd-direct.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1568633915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150087",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150087",
            "telephone_number": "801-917-8000",
            "fax_number": "801-917-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5782 ADAMS AVENUE PARKWAY",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-917-8000",
            "fax_number": "801-917-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCCO",
        "first_name": "ALEXANDRA",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "6830069-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Terrace, UT

Sources for this page

Verify at the official NPI Registry.