Individual provider Active NPI

Alex Fokin Jr., MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hollywood, FL
National Provider Identifier
1902120546
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME127348 Issued in FL
Practice address
1150 N 35TH Ave Ste 130
Hollywood, FL 33021
Phone
(954) 265-7700
Fax
(954) 893-3799
NPI assigned
Mar 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME127348 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave Ste 130
Hollywood, FL 33021

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

3702 Washington St Ste 303
Hollywood, FL 33021-8287
Phone (954) 265-8326

Other practice location 2

2122 W Cypress Creek Rd Ste 220
Ft Lauderdale, FL 33309-1868
Phone (954) 265-7700

Other identifiers 1

IdentifierTypeStateIssuer
021434700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afokin152700@MHSDIRECT.NET Direct

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
I20160919002450 FL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8820307812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Tulane University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
Suite 130
Hollywood, FL 33021-5424
Phone (954) 265-7700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Jul 10, 2017 Accepting new patients
South Broward Hospital District CurrentSince Jul 10, 2017 Accepting new patients
South Broward Hospital District Sports Medicine Current Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

2122 W Cypress Creek Rd
Ste 220
Ft Lauderdale, FL 33309
Phone (954) 265-7700

3702 Washington St
Ste 303
Hollywood, FL 33021
Phone (954) 265-8326

1150 N 35th Ave
Ste 130
Hollywood, FL 33021
Phone (954) 265-7700

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

Interoperability endpoints

  • Direct secure messaging: afokin152700@mhsdirect.net

Organizations & group practices 4

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.

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": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1902120546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 130",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-265-7700",
            "fax_number": "954-893-3799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3702 Washington St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218287",
            "country_code": "US",
            "telephone_number": "954-265-8326",
            "fax_number": "954-893-3799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2122 W Cypress Creek Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333091868",
            "country_code": "US",
            "telephone_number": "954-265-7700",
            "fax_number": "954-276-0435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOKIN",
        "first_name": "ALEX",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-25",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME127348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021434700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afokin152700@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3702 Washington St Ste 303",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330218287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.