Active NPI
Lex Allen Mitchell, MD
- Diagnostic Neuroimaging (Radiology) Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Neuroimaging (Radiology) Physician
- License
- A113267
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01062408A | IN | |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | A113267 | CA | Primary |
| Neuroradiology Physician | 2085N0700X | A113267 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | A113267 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | MD-17925 | HI |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME117985 | Other | FL | FL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Arkansas College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000
420 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000
450 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000
5800 Hollis St
Emeryville, CA 94608-2016
Phone (510) 806-2100
6121 Hollis St
Emeryville, CA 94608-2077
Hospital & facility affiliations
- Kaiser Foundation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 87.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-17925 | HI | MD | Diagnostic Radiology Physician |
| 01062408A | IN | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Stanford Health Care | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Desert Advanced Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Brfhh Monroe LLC | Diagnostic Radiology | Current | Accepting new patients |
| Stanford Health Care | Current | Accepting new patients | |
| LPCH Medical Group Div of Lucile | Current | Accepting new patients | |
| Stanford Health Care | Diagnostic Radiology | Current | Accepting new patients |
| Hawaii Permanente Medical Group Inc | Current | Accepting new patients |
Locations
1804 Embarcadero Rd
Ste 100
Palo Alto, CA 94303
Phone (650) 497-9067
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
4516 Market St
Ventura, CA 93003
Phone (805) 654-8170
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
Networks
- Freedom Health HMO Network
Organizations & group practices 10
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.
-
- Health Maintenance Organization
- Honolulu, HI
- NPI 1710945969
-
- Diagnostic Radiology Physician
- Palm Desert, CA
- NPI 1568416147
HI
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- Diagnostic Radiology Physician
- Victorville, CA
- NPI 1497941421
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
-
- Diagnostic Radiology Physician
- Anaheim, CA
- NPI 1972826774
-
- Radiation Oncology Physician
- Pleasanton, CA
- NPI 1124561758
Diagnostic Radiology
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1396813861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1780786392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "3288 Moanalua Rd",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968191469",
"country_code": "US",
"telephone_number": "808-432-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "LEX",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01062408A",
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "CA",
"license": "A113267",
"primary": true
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CA",
"license": "A113267",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A113267",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "MD-17925",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE",
"identifier": "ME117985",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "3288 Moanalua Rd",
"city": "Honolulu",
"state": "HI",
"country_code": "US",
"postal_code": "968191469",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.