Amita Alexander, MD
Individual provider Active NPI Family Medicine Physician · Glendale, AZ
NPI 1730344508 · NPPES record last updated Nov 5, 2022
Key facts
- NPI
- 1730344508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 64156 (AZ)
- Practice address
- 7701 W Aspera Blvd
Glendale, AZ 85308-7947 - Phone
- (623) 248-6060
- NPI assigned
- Jul 22, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Banner Primary Care Physicians Arizona LLC
Practice addresses (Care Compare)
9780 S Estrella Pkwy
Goodyear, AZ 85338-7114
Phone (623) 474-8101
Hospital & facility affiliations
- Banner Home Care-Arizona
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220126002126 | AZ | Practitioner - Family Practice | 4284895772 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64156 | AZ | MD | Family Medicine Physician |
| P0948 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Primary Care Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Primary Care Physicians Arizona LLC | Current |
Accepting new patients | |
| Banner Primary Care Physicians Arizona LLC | Current |
Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Past |
Accepting new patients |
Locations
20751 W Market St
Buckeye, AZ 85396
Phone (623) 463-5000
7701 W Aspera Blvd
#1
Glendale, AZ 85308
7701 W Aspera Blvd
Glendale, AZ 85308
Phone (623) 248-2100
7701 W Aspera Blvd
Ste 102
Glendale, AZ 85308
Phone (623) 248-2100
7701 W Aspera Blvd
#102
Glendale, AZ 85308
7701 W Aspera Blvd
Ste 201
Glendale, AZ 85308
Phone (623) 248-2100
9780 S Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 474-8101
13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P0948 | TX | |
| Family Medicine Physician | 207Q00000X | 64156 | AZ | Yes |
Addresses
Primary practice location
7701 W Aspera Blvd
Glendale, AZ 85308-7947
Mailing address
7701 W Aspera Blvd
Glendale, AZ 85308-7947
Phone (480) 220-8421
Other providers in Glendale, AZ
- Hannah T Alegado
- Kaila Alegado
- Alera Health Care
- Alert Adult Care Inc.
- Alertive Healthcare Medical Group PC
- Brenna Alexander
- Lezlee Michele Alexander
- Lisa Alexander
- Nicolas Alexander
- Valentin A Alexe
All providers in Glendale, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.