Individual provider Active NPI

Alexis Korostoff Rieber, MD

  • Otolaryngology Physician
  • Pasadena, CA
National Provider Identifier
1659623429
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A123143 Issued in CA
Practice address
630 S Raymond Ave Unit 201
Pasadena, CA 91105-3283
Phone
(424) 314-0196
NPI assigned
Oct 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A123143 CA Primary

Addresses

Primary practice location

630 S Raymond Ave Unit 201
Pasadena, CA 91105-3283

Mailing address

630 S Raymond Ave Unit 201
Pasadena, CA 91105-3283
Phone (424) 314-0196

Other practice location 1

1200 N State St Rm 4136
USC Department of Otolaryngology
Los Angeles, CA 90033-1029
Phone (323) 409-1000

Other practice location 2

547 E Union St
Pasadena, CA 91101-1743
Phone (626) 796-6164

Other practice location 3

8631 W 3rd St # 915W
Los Angeles, CA 90048-5901
Phone (424) 314-0196

Other practice location 4

10 Congress St Ste 103
Pasadena, CA 91105-3027
Phone (626) 796-6164

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
I20170802000117 CA Practitioner - Otolaryngology 7517238017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

630 S Raymond Ave
Unit 201
Pasadena, CA 91105-3283
Phone (424) 314-0199

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123143CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 27, 2022 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
CHHP Holdings II, LLC Past Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

8631 W 3rd St
Ste 510
Los Angeles, CA 90048
Phone (310) 278-1490

960 E Green St
Ste 208
Pasadena, CA 91106
Phone (424) 314-0196

630 S Raymond Ave
Unit 201
Pasadena, CA 91105
Phone (424) 314-0196

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Interoperability endpoints

  • Direct secure messaging: arieber413303@direct.cshs.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1659623429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE UNIT 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053283",
            "telephone_number": "424-314-0196",
            "fax_number": "626-796-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE UNIT 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053283",
            "telephone_number": "424-314-0196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N State St Rm 4136",
            "address_2": "USC Department of Otolaryngology",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331029",
            "country_code": "US",
            "telephone_number": "323-409-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "547 E Union St",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911011743",
            "country_code": "US",
            "telephone_number": "626-796-6164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8631 W 3rd St # 915W",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485901",
            "country_code": "US",
            "telephone_number": "424-314-0196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Congress St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053027",
            "country_code": "US",
            "telephone_number": "626-796-6164",
            "fax_number": "626-796-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEBER",
        "first_name": "ALEXIS",
        "middle_name": "KOROSTOFF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A123143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.