Individual provider Active NPI

Alex Hlubocky, M.D.

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1679771950
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
43082 Issued in AZ
Practice address
2423 W Dunlap Ave Ste 175
Phoenix, AZ 85021-5823
Phone
(602) 424-4450
Fax
(602) 424-4451
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 43082 AZ Primary

Addresses

Primary practice location

2423 W Dunlap Ave Ste 175
Phoenix, AZ 85021-5823

Mailing address

2423 W Dunlap Ave
#130
Phoenix, AZ 85021-5818
Phone (602) 424-4450

Other identifiers 1

IdentifierTypeStateIssuer
43082OtherAZAZ MEDICAL BOARD

Other names 1

  • Ales Hlubocky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110713000807 AZ Practitioner - Neurology 2567630775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amdx LTDGroup PAC ID 6305841826, 9 clinicians

Practice addresses (Care Compare)

10320 W McDowell Rd
Suite K1135
Avondale, AZ 85392-4876
Phone (602) 424-4450

6136 E Brown Rd
Suite 103
Mesa, AZ 85205-4961
Phone (602) 424-4450

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurodiagnostic Laboratories, LLC Past Accepting new patients
Valley ENT, PC Past Accepting new patients

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1679771950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 W DUNLAP AVE",
            "address_2": "#130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215818",
            "telephone_number": "602-424-4450",
            "fax_number": "602-424-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 W DUNLAP AVE STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215823",
            "telephone_number": "602-424-4450",
            "fax_number": "602-424-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLUBOCKY",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "43082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL BOARD",
            "identifier": "43082",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALES",
            "last_name": "HLUBOCKY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.