Individual provider Active NPI

Reginald Ander Alexander, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Irving, TX
National Provider Identifier
1598911380
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
P7237 Issued in TX
Practice address
4301 N Macarthur Blvd
Suite 203
Irving, TX 75038-6497
Phone
(972) 255-5588
Fax
(972) 573-3807
NPI assigned
Aug 12, 2008
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X P7237 TX Primary

Addresses

Primary practice location

4301 N Macarthur Blvd
Suite 203
Irving, TX 75038-6497

Mailing address

1414 S Grand Ave
Ste 123
Los Angeles, CA 90015-3071
Phone (213) 455-8448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180801001389 CA Practitioner - Orthopedic Surgery 2365678760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Howard University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian D Solberg MD IncGroup PAC ID 3577614148, 4 clinicians

Practice addresses (Care Compare)

1414 S Grand Ave
Suite 123
Los Angeles, CA 90015-3071
Phone (213) 455-8448

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7237TXMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brian D Solberg MD Inc Orthopaedic Surgery CurrentSince Jun 5, 2018 Accepting new patients

Locations

1414 S Grand Ave
Ste 123
Los Angeles, CA 90015
Phone (213) 455-8448

1414 S Grand Ave
Ste 210
Los Angeles, CA 90015
Phone (213) 455-8448

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1598911380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "STE 123",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153071",
            "telephone_number": "213-455-8448",
            "fax_number": "213-745-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BLVD",
            "address_2": "SUITE 203",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386497",
            "telephone_number": "972-255-5588",
            "fax_number": "972-573-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "REGINALD",
        "middle_name": "ANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "P7237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.