Individual provider Active NPI

Alexander Poisik, MD

  • Neurological Surgery Physician
  • Plantation, FL
National Provider Identifier
1851320733
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME98912 Issued in FL
Practice address
301 NW 84TH Ave Ste 303
Plantation, FL 33324-1807
Phone
(754) 238-1965
Fax
(754) 238-1803
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME98912 FL Primary

Addresses

Primary practice location

301 NW 84TH Ave Ste 303
Plantation, FL 33324-1807

Mailing address

PO Box 565338
Miami, FL 33256-5338
Phone (754) 238-1965

Other identifiers 2

IdentifierTypeStateIssuer
024967100MedicaidFL
1356126791OtherFLGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20071031000391 FL Practitioner - Neurosurgery 3173526621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Columbia University College of Physicians and Surgeons, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 NW 84TH Ave
Suite 303
Plantation, FL 33324-1807
Phone (754) 238-1965

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgery Consulting LLC Neurological Surgery CurrentSince Aug 23, 2023 Accepting new patients
Raleigh Neurosurgical Clinic, Inc. Neurological Surgery Past Accepting new patients
Baptist Health Medical Group Oncology LLC Past Accepting new patients

Locations

301 NW 84th Ave
Ste 303
Plantation, FL 33324
Phone (954) 888-1000

301 NW 84th Ave
Ste 206
Plantation, FL 33324
Phone (954) 653-3722

Interoperability endpoints

  • Direct secure messaging: alexander.poisik@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1851320733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565338",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332565338",
            "telephone_number": "754-238-1965",
            "fax_number": "754-238-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NW 84TH AVE STE 303",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241807",
            "telephone_number": "754-238-1965",
            "fax_number": "754-238-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POISIK",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME98912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024967100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1356126791",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.