Individual provider Active NPI

Alexandra Channing, M.D.

  • Pediatric Cardiology Physician
  • Vista, CA
National Provider Identifier
1679896864
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A114207 Issued in CA
Practice address
2305 S Melrose Dr Ste 104
Vista, CA 92081-8789
Phone
(760) 760-4170
NPI assigned
Mar 2, 2010
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X A114207 CA Primary
Pediatric Cardiology Physician 2080P0202X 57388 CT
Pediatric Cardiology Physician 2080P0202X 283579 NY

Addresses

Primary practice location

2305 S Melrose Dr Ste 104
Vista, CA 92081-8789

Mailing address

2305 S Melrose Dr Ste 104
Vista, CA 92081-8789
Phone (760) 760-4170

Other practice location 1

282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9000

Other practice location 2

3959 Broadway
New York, NY 10032-1559
Phone (212) 305-5809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20161118001219 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Diagnostic RadiologyPractitioner - Pediatric Medicine 0345556163 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Diagnostic Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283579NYMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. CurrentSince Sep 21, 2016 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Weill Medical College of Cornell CurrentSince Mar 20, 2017 Accepting new patients
Weill Cornell Medical Imaging CurrentSince Mar 20, 2017 Accepting new patients
Weill Cornell Imaging at New York Presbyterian CurrentSince Mar 20, 2017 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jan 1, 2020 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Weill Medical College of Cornell CurrentSince Mar 20, 2017 Accepting new patients
Weill Medical College of Cornell Pediatric Cardiology CurrentSince Mar 20, 2017 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jan 1, 2020 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Sep 21, 2016 Accepting new patients
Columbiadoctors/Newyork-Presbyterianimaging CurrentSince Mar 1, 2026 Accepting new patients
Alexandra Channing MD, P.C. Pediatric Cardiology Past Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients

Locations

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

3959 Broadway
New York, NY 10032
Phone (212) 304-7297

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

525 E 68th St
#M6
New York, NY 10065
Phone (212) 746-3558

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

1111 Westchester Ave
White Plains, NY 10604
Phone (914) 229-5000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: achanning39229@connecticutchildrens.direct-ci.com
  • Direct secure messaging: alc9186@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1679896864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S MELROSE DR STE 104",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818789",
            "telephone_number": "760-760-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S MELROSE DR STE 104",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818789",
            "telephone_number": "760-760-4170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 Washington St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063322",
            "country_code": "US",
            "telephone_number": "860-545-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3959 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100321559",
            "country_code": "US",
            "telephone_number": "212-305-5809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANNING",
        "first_name": "ALEXANDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A114207",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CT",
            "license": "57388",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "283579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.