Active NPI
Alexis Maguin Fenton, MD
- Clinical Cardiac Electrophysiology Physician
- Lexington, KY
National Provider Identifier
1891802880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- TP339
- Practice address
- 800 Rose St
Lexington, KY 40536-4552 - Phone
- (859) 323-0295
- NPI assigned
- Aug 24, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | TP339 | KY | |
| Cardiovascular Disease Physician | 207RC0000X | L1571 | TX | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | L1571 | TX | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD2018-0640 | NM | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | TP339 | KY | Primary |
Addresses
Primary practice location
800 Rose St
Lexington, KY 40536-4552
Mailing address
1150 N Loop 1604 W # 108-645
San Antonio, TX 78248-4552
Phone (210) 332-3524
Other practice location 1
1150 N Loop 1604 W # 108-645
San Antonio, TX 78248-4552
Phone (210) 332-3524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141194406 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040601000970 | TX | Practitioner - Cardiac Electrophysiology | 1456333871 |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Texas Medical Branch at Galveston, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18620 NW 47TH Ave
Miami Gardens, FL 33055-2502
6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.46 of 100
- Quality
- 71.92
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2018-0640 | NM | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Current | Accepting new patients |
Interoperability endpoints
- 6956-fenton-alexis@direct.leadingreach.com
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 and National Provider Directory roles.
-
dba SJHP Gastroenterology
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1891802880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 N LOOP 1604 W # 108-645",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782484552",
"telephone_number": "210-332-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405364552",
"telephone_number": "859-323-0295"
}
],
"practiceLocations": [
{
"address_1": "1150 N Loop 1604 W # 108-645",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782484552",
"country_code": "US",
"telephone_number": "210-332-3524",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENTON",
"first_name": "ALEXIS",
"middle_name": "MAGUIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "TP339",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "L1571",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TX",
"license": "L1571",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "NM",
"license": "MD2018-0640",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "KY",
"license": "TP339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141194406",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.