Active NPI
Kirk G. Alexander, DPM
- Foot & Ankle Surgery Podiatrist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO0000779
- Practice address
- 1101 Madison St
Suite 301
Seattle, WA 98104-1306 - Phone
- (206) 505-1101
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO0000779 | WA | Primary |
Addresses
Primary practice location
1101 Madison St
Suite 301
Seattle, WA 98104-1306
Mailing address
1101 Madison St
Suite 301
Seattle, WA 98104-1306
Phone (206) 505-1101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8418097 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kalexander1040996@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050519000228 | WA | Practitioner - Podiatry | 5092774240 | Reassigns benefits to 2 organizations |
| I20200128000225 | TX | Practitioner - Podiatry | 5092774240 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacmed ClinicsSwedish Health Services
Practice addresses (Care Compare)
1101 Madison St
Suite 301
Seattle, WA 98104-3599
Phone (206) 505-1300
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
801 Broadway
Suite 901
Seattle, WA 98122-4328
Phone (206) 860-6656
Hospital & facility affiliations
- Swedish Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 28 |
| Removal or shaving of skin growth | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO0000779 | WA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients |
Locations
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400
1801 Lind Ave SW
Bldg D
Renton, WA 98057
Phone (425) 227-3700
601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400
10416 5th Ave NE
Seattle, WA 98125
Phone (206) 517-6667
1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101
Interoperability endpoints
- kalexander1040996@wm.providencedirect.org
Organizations & group practices 9
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.
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1437202249
-
- Prosthetic/Orthotic Supplier
- Seattle, WA
- NPI 1770314940
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1720023641
-
- General Practice Physician
- Renton, WA
- NPI 1497129696
-
- Clinic/Center
- Juneau, AK
- NPI 1427941343
-
- Federally Qualified Health Center (FQHC)
- Coffman Cove, AK
- NPI 1932645512
Hospital & facility affiliations 1
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": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1720076367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MADISON ST",
"address_2": "SUITE 301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041306",
"telephone_number": "206-505-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MADISON ST",
"address_2": "SUITE 301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041306",
"telephone_number": "206-505-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "KIRK",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO0000779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8418097",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kalexander1040996@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1101 Madison St",
"address_2": "Suite 301",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981041306",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.