Individual provider Active NPI

Edwin R Alexander, M.D.

  • Internal Medicine Physician
  • Orange, CA
National Provider Identifier
1659315752
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A74683 Issued in CA
Practice address
1140 W la Veta Ave
Orange, CA 92868-4227
Phone
(714) 550-7575
Fax
(714) 550-7550
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A74683 CA Primary

Addresses

Primary practice location

1140 W la Veta Ave
Orange, CA 92868-4227

Mailing address

1140 W la Veta Ave
Orange, CA 92868-4227
Phone (714) 550-7575

Other names 1

  • Dr. Edwin R Alexander Professional name

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
I20101214000730 CA Practitioner - Internal Medicine 7911194188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1140 W la Veta Ave
Suite 540
Orange, CA 92868-4221
Phone (714) 550-7575

Hospital & facility affiliations

  • Immaculate Heart of Mary Home Health, Inc Home health agency, Bellflower, CA, CCN 058008
  • Providence at Home With Compassus Home Health Orange County Home health agency, Anaheim, CA, CCN 057600
  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069
  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue367

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A74683CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edwin R Alexander MD Inc Internal Medicine CurrentSince Jul 5, 2010 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

1140 W La Veta Ave
Ste 540
Orange, CA 92868
Phone (714) 550-7575

Interoperability endpoints

  • Direct secure messaging: ealexander1373218@oc.providencedirect.org
  • Direct secure messaging: edwinalexander@eramdi.allscriptsdirect.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 7

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1659315752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684227",
            "telephone_number": "714-550-7575",
            "fax_number": "714-550-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684227",
            "telephone_number": "714-550-7575",
            "fax_number": "714-550-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "EDWIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A74683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWIN",
            "last_name": "ALEXANDER",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.