Individual provider Active NPI

Alexandra Grace, DO, MPH

  • Gastroenterology Physician
  • Naples, FL
National Provider Identifier
1861773533
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS11409 Issued in FL
Practice address
1656 Medical Blvd Ste 301
Naples, FL 34110-1423
Phone
(239) 593-6201
Fax
(239) 593-6202
NPI assigned
Sep 7, 2011
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS11409 FL Primary
Internal Medicine Physician 207R00000X OS11409 FL

Addresses

Primary practice location

1656 Medical Blvd Ste 301
Naples, FL 34110-1423

Mailing address

1656 Medical Blvd Ste 301
Naples, FL 34110-1423
Phone (239) 593-6201

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
I20150921002599 FL Practitioner - Gastroenterology 5092957761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Specialists of Southwest Florida PAGroup PAC ID 0143257204, 4 clinicians

Practice addresses (Care Compare)

1656 Medical Blvd
Suite 301
Naples, FL 34110-1423
Phone (239) 593-6201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.01 of 100Reported as group
Quality
68.03
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy340
Upper gastrointestinal (GI) endoscopy for acid reflux717

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11409FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Specialists of Southwest Florida PA CurrentSince Mar 23, 2022 Accepting new patients

Locations

1656 Medical Blvd
Ste 301
Naples, FL 34110
Phone (239) 593-6201

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: agrace206488@direct.hfhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1861773533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 MEDICAL BLVD STE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101423",
            "telephone_number": "239-593-6201",
            "fax_number": "239-593-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 MEDICAL BLVD STE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101423",
            "telephone_number": "239-593-6201",
            "fax_number": "239-593-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "OS11409",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.