Individual provider Active NPI

Alexandra Economos, PA-C

  • Physician Assistant
  • Towson, MD
National Provider Identifier
1588385280
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7600 Osler Dr Ste 200
Towson, MD 21204-7701
Phone
(410) 321-8452
Fax
(410) 828-5217
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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 Primary

Addresses

Primary practice location

7600 Osler Dr Ste 200
Towson, MD 21204-7701

Mailing address

7600 Osler Dr Ste 200
Towson, MD 21204-7701
Phone (410) 321-8425

Other practice location 1

7602 Belair Rd
Baltimore, MD 21236-4088
Phone (410) 321-8452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221230000232 MD Practitioner - Physician Assistant 7113397555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians
Maryland Family Care IncGroup PAC ID 5092629394, 157 clinicians

Practice addresses (Care Compare)

7600 Osler Dr
Suite 200
Towson, MD 21204-7701
Phone (410) 321-8452

7602 Belair Rd
Baltimore, MD 21236-4088
Phone (410) 663-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.13 of 100Reported as group
Quality
56.5
Promoting interoperability
100
Improvement activities
40
Cost
73.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Paul Place Specialists , Inc. CurrentSince Dec 15, 2022 Accepting new patients
St Paul Place Specialists Inc CurrentSince Dec 15, 2022 Accepting new patients
Saint Paul Place Specialists, Inc. Past Accepting new patients

Locations

888 Bestgate Rd
Annapolis, MD 21401
Phone (410) 571-7300

3290 North Ridge Rd
Ellicott City, MD 21043
Phone (410) 801-2273

7927 Ritchie Hwy
Glen Burnie, MD 21061
Phone (410) 494-9099

11121 York Rd
Hunt Valley, MD 21030
Phone (410) 628-0026

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

130 Love Point Rd
Stevensville, MD 21666
Phone (410) 573-0090

1734 York Rd
Timonium, MD 21093
Phone (410) 252-2273

7600 Osler Dr
Ste 200
Towson, MD 21204
Phone (410) 321-8286

Interoperability endpoints

  • Direct secure messaging: aeconomos36339@direct.mdmercy.com

Organizations & group practices 5

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 1

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": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1588385280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR STE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047701",
            "telephone_number": "410-321-8425",
            "fax_number": "410-828-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR STE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047701",
            "telephone_number": "410-321-8452",
            "fax_number": "410-828-5217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7602 Belair Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212364088",
            "country_code": "US",
            "telephone_number": "410-321-8452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECONOMOS",
        "first_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.