Active NPI
Alexander Marc Intagliata, MD
- Ophthalmology Physician
- Columbia, MO
National Provider Identifier
1619713252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2024020329
- Practice address
- 1 Hospital Dr # Dc052.00
Columbia, MO 65212-1000 - Phone
- (573) 884-3937
- NPI assigned
- Jul 3, 2024
- Last updated
- Jul 3, 2024
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2024020329 | MO | Primary |
Addresses
Primary practice location
1 Hospital Dr # Dc052.00
Columbia, MO 65212-1000
Mailing address
1 Hospital Dr # Dc052.00
Columbia, MO 65212-1000
Phone (573) 884-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240726000370 | MO | Order and Referring Only - Ophthalmology | 9234675232 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1619713252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR # DC052.00",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652121000",
"telephone_number": "573-884-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR # DC052.00",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652121000",
"telephone_number": "573-884-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INTAGLIATA",
"first_name": "ALEXANDER",
"middle_name": "MARC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-03",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "2024020329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
- Cythia Sue Inlow, LCSW
- Regina Ann Inman, PHARM.D.
- Innate Health and Wellness (Advanced Physical Health, P.C.)
- Innovative Healthcare of Mid Missouri Inc. (BrightStar of Mid-Missouri)
- Institute for Outpatient Surgery, LLC
- Integrated Lifestyles LLC
- Integration Plus, Inc
- Integrity Home Care, LLC (Integrity Home Care and Hospice)
- Muhammad Arif Iqbal, MD
- Durdana Iram, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.