Active NPI
Alexandre Mohammed Nejat
- Certified Registered Nurse Anesthetist
- Murray, KY
National Provider Identifier
1609532829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95086665
- Practice address
- School of Nursing 102 Curris Center
Murray, KY 42071 - Phone
- (800) 272-4678
- NPI assigned
- Nov 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95086665 | CA | Primary |
Addresses
Primary practice location
School of Nursing 102 Curris Center
Murray, KY 42071
Mailing address
1177 Rosamund Dr
San Ramon, CA 94582-5392
Phone (510) 676-7775
Other practice location 1
1177 Rosamund Dr
San Ramon, CA 94582-5392
Phone (510) 676-7775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95086665 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
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.
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1437196300
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1609532829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 ROSAMUND DR",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825392",
"telephone_number": "510-676-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SCHOOL OF NURSING 102 CURRIS CENTER",
"city": "MURRAY",
"state": "KY",
"postal_code": "42071",
"telephone_number": "800-272-4678"
}
],
"practiceLocations": [
{
"address_1": "1177 Rosamund Dr",
"address_purpose": "LOCATION",
"city": "San Ramon",
"state": "CA",
"postal_code": "945825392",
"country_code": "US",
"telephone_number": "510-676-7775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEJAT",
"first_name": "ALEXANDRE",
"middle_name": "MOHAMMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95086665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.