Individual provider Active NPI

Alexander C Jungreis, MD

  • Interventional Pain Medicine Physician
  • Winter Park, FL
National Provider Identifier
1851352629
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME54328 Issued in FL
Practice address
1693 Lee Rd
Suite B
Winter Park, FL 32789-2260
Phone
(407) 622-5766
Fax
(407) 622-5767
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME54328 FL
Interventional Pain Medicine Physician 208VP0014X ME54328 FL Primary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X ME54328 FL

Addresses

Primary practice location

1693 Lee Rd
Suite B
Winter Park, FL 32789-2260

Mailing address

5400 Broken Sound Blvd NW
Suite 600
Boca Raton, FL 33487-3521
Phone (561) 241-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME54328FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain & Rehabilitation Institute Inc PastSince Apr 30, 2003 Accepting new patients
Florida Pain and Rehabilitation Associates Inc Specialist Past Accepting new patients
Florida Pain and Rehabilitation Institute Inc Interventional Pain Medicine Past Accepting new patients
Pinnacle Medical Group PA Past Accepting new patients
National Surgical Centers of America LLC Past Accepting new patients

Organizations & group practices 5

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1851352629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BROKEN SOUND BLVD NW",
            "address_2": "SUITE 600",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873521",
            "telephone_number": "561-241-9300",
            "fax_number": "561-515-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 LEE RD",
            "address_2": "SUITE B",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892260",
            "telephone_number": "407-622-5766",
            "fax_number": "407-622-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGREIS",
        "first_name": "ALEXANDER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME54328",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME54328",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "FL",
            "license": "ME54328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.