Individual provider Active NPI

Alexander Crean

  • Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1902160419
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MT201745 Issued in PA
Practice address
3627 University Blvd S Ste 700
Jacksonville, FL 32216-7403
Phone
(904) 399-5678
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT201745 PA Primary

Addresses

Primary practice location

3627 University Blvd S Ste 700
Jacksonville, FL 32216-7403

Mailing address

3627 University Blvd S Ste 700
Jacksonville, FL 32216-7403

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ALEXANDER.CREAN@hca5.eclinicaldirectplus.com

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
I20181029001015 FL Practitioner - Colorectal Surgery (Proctology) 6901159565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Medical College of Georgia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Family Practice Associates, LLCGroup PAC ID 8820003411, 50 clinicians

Practice addresses (Care Compare)

3627 University Blvd S
Suite 700
Jacksonville, FL 32216-7403
Phone (904) 399-5678

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT201745PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Family Practice Associates, LLC CurrentSince Sep 4, 2018 Accepting new patients
Memorial Family Practice Associates LLC Past Accepting new patients

Locations

3627 University Blvd S
Ste 700
Jacksonville, FL 32216

1731 University Blvd S
Jacksonville, FL 32216
Phone (904) 725-0200

12276 San Jose Blvd
Ste 401
Jacksonville, FL 32223
Phone (904) 268-5561

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: alexander.crean@hca5.eclinicaldirectplus.com

Organizations & group practices 2

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 2

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1902160419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 700",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322167403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 700",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322167403",
            "telephone_number": "904-399-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAN",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT201745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALEXANDER.CREAN@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3627 University Blvd S Ste 700",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322167403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.