Alexandria Marie Ponkratz, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2022-00431 Issued in NC

Practice address

1021 W Williams St Ste 105
Apex, NC 27502-3956

Phone

(919) 290-1090

NPI assigned

Apr 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: aponkratz253723@directhisp.wakemed.org

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.

• Cary Pediatric Center PA

  • Pediatrics Physician
  • Cary, NC
  • NPI 1790817963
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1760046932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W WILLIAMS ST STE 105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023956",
            "telephone_number": "919-290-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W WILLIAMS ST STE 105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023956",
            "telephone_number": "919-290-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONKRATZ",
        "first_name": "ALEXANDRIA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "250504",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2022-00431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Pleasant
• Podiatry Offices of Dr. Milton Richardson
• Samantha Sue Poe, RN
• Jared Randall Polatis, LMFTA
• Lynn Keith Policastro, BS, ED
• Dayana Jasmin Pottekkattil
• Victoria Powell, RBT
• Edla Pope Prevette, LPCA
• Kaleil Price
• Karen G Price

• Pediatrics Physician in Apex, NC
• Providers in Apex, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.

Verify at the official NPI Registry.