Individual provider Active NPI

Alexander P Hersel, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Thousand Oaks, CA
National Provider Identifier
1689696718
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A79277 Issued in CA
Practice address
1120 Newbury Rd
Suite 150
Thousand Oaks, CA 91320-3663
Phone
(805) 557-0096
Fax
(805) 557-1743
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A79277 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A79277 CA Primary

Addresses

Primary practice location

1120 Newbury Rd
Suite 150
Thousand Oaks, CA 91320-3663

Mailing address

1120 Newbury Rd
Suite 150
Thousand Oaks, CA 91320-3663
Phone (805) 557-0096

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
I20040708000915 CA Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 3476530593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Hahnemann University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alexander P Hersel MD IncGroup PAC ID 3678550795, 7 clinicians

Practice addresses (Care Compare)

1120 Newbury Rd
Suite 150
Thousand Oaks, CA 91320-3663
Phone (805) 557-0096

Merit-based Incentive Payment System (MIPS)

Final score
62.32 of 100Reported as group
Quality
34
Promoting interoperability
77
Improvement activities
40
Cost
59.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79277CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander P. Hersel, M.D., Inc Anesthesiology CurrentSince Jan 2, 2004 Accepting new patients
Alexander P. Hersel, MD, Inc Past Accepting new patients
Alexander P. Hersel, MD, Inc Past Accepting new patients
Alexander P. Hersel, MD, Inc Past Accepting new patients
Trias Global, LLC Past Accepting new patients

Locations

9301 Wilshire Blvd
Ste 401
Beverly Hills, CA 90210
Phone (310) 274-3481

2336 Santa Monica Blvd
Ste 208
Santa Monica, CA 90404
Phone (310) 453-0033

1120 Newbury Rd
Ste 100
Thousand Oaks, CA 91320
Phone (805) 230-3100

1120 Newbury Rd
Ste 150
Thousand Oaks, CA 91320
Phone (805) 557-0096

1120 Newbury Rd
Thousand Oaks, CA 91320
Phone (805) 209-4106

Interoperability endpoints

  • Direct secure messaging: alexanderhersel@pmirmc.allscriptsdirect.net

Organizations & group practices 5

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1689696718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NEWBURY RD",
            "address_2": "SUITE 150",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913203663",
            "telephone_number": "805-557-0096",
            "fax_number": "805-557-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 NEWBURY RD",
            "address_2": "SUITE 150",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913203663",
            "telephone_number": "805-557-0096",
            "fax_number": "805-557-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSEL",
        "first_name": "ALEXANDER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A79277",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A79277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.