Active NPI
Irene Alexandraki, M.D.
- Internal Medicine Physician
- Tallahassee, FL
National Provider Identifier
1699741009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME83006
- Practice address
- 1300 Miccosukee Road
Internal Medicine Residency Program
Tallahassee, FL 32308 - Phone
- (850) 431-8250
- Fax
- (850) 431-8251
- NPI assigned
- Feb 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A85205 | CA | |
| Internal Medicine Physician | 207R00000X | K8707 | TX | |
| Infectious Disease Physician | 207RI0200X | ME83006 | FL | |
| Infectious Disease Physician | 207RI0200X | K8707 | TX | |
| Hospitalist Physician | 208M00000X | A85205 | CA | |
| Internal Medicine Physician | 207R00000X | ME83006 | FL | Primary |
Addresses
Primary practice location
1300 Miccosukee Road
Internal Medicine Residency Program
Tallahassee, FL 32308
Mailing address
1300 Miccosukee Road
Internal Medicine Residency Program
Tallahassee, FL 32308
Phone (850) 431-8250
Other practice location 1
4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2705451-00 | Medicaid | FL | |
| 1699741009 | Medicaid | CA | |
| 288918803A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001515 | NY | MD | Mental Health Counselor |
| ME83006 | FL | MD | Internal Medicine Physician |
| K8707 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lubbock County Hospital District | Past | Accepting new patients | |
| Shands Jacksonville Medical Center Inc | Past | Accepting new patients | |
| UCLA Medical Group | Internal Medicine | 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.
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1073604914
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1699741009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE ROAD",
"address_2": "INTERNAL MEDICINE RESIDENCY PROGRAM",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32308",
"telephone_number": "850-431-8250",
"fax_number": "850-431-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE ROAD",
"address_2": "INTERNAL MEDICINE RESIDENCY PROGRAM",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32308",
"telephone_number": "850-431-8250",
"fax_number": "850-431-8251"
}
],
"practiceLocations": [
{
"address_1": "4801 Alberta Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052707",
"country_code": "US",
"telephone_number": "915-215-5200",
"fax_number": "915-215-8640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALEXANDRAKI",
"first_name": "IRENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-25",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A85205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K8707",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME83006",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "K8707",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A85205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME83006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2705451-00",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699741009",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288918803A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.