Alejandro A Radi, M.D.

Primary specialty

ContractorTaxonomy code 171W00000X

License

ME0025451 Issued in FL

Practice address

3599 University Blvd S
Suite 8
Jacksonville, FL 32216-4252

Phone

(904) 398-7001

Fax

(904) 398-0780

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Alejandro a Radi MD PA

  • Gastroenterology Physician
  • Jacksonville, FL
  • NPI 1871815290
  NPD (past) Authorized official

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1821081183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-398-7001",
            "fax_number": "904-398-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-398-7001",
            "fax_number": "904-398-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADI",
        "first_name": "ALEJANDRO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "ME0025451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036393600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Rademacher
• Carol-Ann Rademeyer, ARNP, CNM
• Patrick N Rader, DO
• Rachel Renee Rader
• Alexandra Leigh Raderstorf, APRN
• Radiance Massage and Bodywork
• Radiant Midwifery, LLC
• Radiology Consultants of Hollywood Inc
• Radiology Consultants of Jacksonville MRI
• Radiology Health Imaging, LLC

• Contractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.