Individual provider Active NPI

Alexandra Tarasidis, D.O.

  • Pediatrics Physician
  • Cary, NC
National Provider Identifier
1750814521
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2020-00754 Issued in NC
Practice address
940 SE Cary Pkwy Ste 200
Cary, NC 27518-7417
Phone
(919) 859-9991
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 202000754 NC
Pediatrics Physician 208000000X 2020-00754 NC Primary

Addresses

Primary practice location

940 SE Cary Pkwy Ste 200
Cary, NC 27518-7417

Mailing address

940 SE Cary Pkwy Ste 200
Cary, NC 27518-7417
Phone (919) 859-9991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170728001258 NC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8628348307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-00754NCMDPediatrics Physician
202000754NCMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Wake Pediatrics, PA Pediatrics PastSince Jul 25, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alexandra.tarasidis@wwpp.eclinicaldirectplus.com

Organizations & group practices 1

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1750814521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 SE CARY PKWY STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187417",
            "telephone_number": "919-859-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 SE CARY PKWY STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187417",
            "telephone_number": "919-859-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASIDIS",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NC",
            "license": "202000754",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2020-00754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.