Individual provider Active NPI

Alexandra Tilt, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1609261924
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
0101275256 Issued in VA
Practice address
2829 Shore Dr Ste 200
Virginia Beach, VA 23451-1498
Phone
(757) 734-1000
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 0101275256 VA Primary

Addresses

Primary practice location

2829 Shore Dr Ste 200
Virginia Beach, VA 23451-1498

Mailing address

2829 Shore Dr Ste 200
Virginia Beach, VA 23451-1498
Phone (757) 734-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230131003092 VA Practitioner - Plastic and Reconstructive Surgery 2264833318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Virginia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sailon Plastic Surgery LLCGroup PAC ID 2668866351, 3 clinicians

Practice addresses (Care Compare)

1401 Kristina Way
Suite 104
Chesapeake, VA 23320-8918
Phone (757) 734-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
100
Improvement activities
40
Cost
63.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision53
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sailon Plastic Surgery LLC CurrentSince Nov 15, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1401 Kristina Way
Ste 104
Chesapeake, VA 23320
Phone (757) 734-1000

300 Medical Pkwy
Ste 316
Chesapeake, VA 23320
Phone (757) 547-0047

2829 Shore Dr
Ste 200
Virginia Beach, VA 23451
Phone (757) 496-5556

Interoperability endpoints

  • Direct secure messaging: atilt@directaddress.net

Organizations & group practices 2

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 3

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1609261924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 SHORE DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511498",
            "telephone_number": "757-734-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 SHORE DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511498",
            "telephone_number": "757-734-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILT",
        "first_name": "ALEXANDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101275256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.