Individual provider Active NPI

Alexandra Shendrik Kloeck, DPM

  • Foot & Ankle Surgery Podiatrist
  • Claremore, OK
National Provider Identifier
1679957328
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
335 Issued in OK
Practice address
1501 N Florence Ave Ste 350
Claremore, OK 74017-3275
Phone
(918) 343-8574
Fax
(918) 343-8575
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 335 OK Primary

Addresses

Primary practice location

1501 N Florence Ave Ste 350
Claremore, OK 74017-3275

Mailing address

1501 N Florence Ave Ste 350
Claremore, OK 74017-3275
Phone (918) 343-8574

Other names 1

  • Alexandra Shendrik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808002917 OK Practitioner - Podiatry 1456609395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1501 N Florence Ave
Suite 350
Claremore, OK 74017-3275
Phone (918) 343-8574

Hospital & facility affiliations

  • Hillcrest Hospital Claremore Hospital, Claremore, OK, CCN 370039
  • Hillcrest Hospital Pryor Hospital, Pryor, OK, CCN 370015
  • Bailey Medical Center, LLC Hospital, Owasso, OK, CCN 370228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue130
Removal of skin lesions23
Removal of nail tissue246
Removal or shaving of skin growth21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group, LLC CurrentSince Feb 1, 2020 Accepting new patients
Ahs Oklahoma Physician Group LLC CurrentSince Feb 1, 2020 Accepting new patients
Ahs Pryor Hospital, LLC Past Accepting new patients
Ahs Claremore Regional Hospital, LLC. Past Accepting new patients

Locations

1501 N Florence Ave
Ste 350
Claremore, OK 74017
Phone (918) 301-3170

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

Dept 1206
Tulsa, OK 74182

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

Interoperability endpoints

  • Direct secure messaging: akloeck174785@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 4

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 3

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1679957328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N FLORENCE AVE STE 350",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173275",
            "telephone_number": "918-343-8574",
            "fax_number": "918-343-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N FLORENCE AVE STE 350",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173275",
            "telephone_number": "918-343-8574",
            "fax_number": "918-343-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOECK",
        "first_name": "ALEXANDRA",
        "middle_name": "SHENDRIK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "SHENDRIK",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.