Active NPI
Sam H Alexander, MD
- Obstetrics & Gynecology Physician
- Las Vegas, NV
National Provider Identifier
1902984867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 12925
- Practice address
- 9260 W Sunset Rd
Suite 200
Las Vegas, NV 89148-4858 - Phone
- (702) 255-3547
- Fax
- (702) 921-2419
- NPI assigned
- Nov 1, 2006
- Last updated
- Jan 31, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A34014 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 12925 | NV | Primary |
Addresses
Primary practice location
9260 W Sunset Rd
Suite 200
Las Vegas, NV 89148-4858
Mailing address
9260 W Sunset Rd
Suite 200
Las Vegas, NV 89148-4858
Phone (702) 255-3547
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ALEXA0309 | Other | CA | BLUE SHIELD |
| 00A340140 | Medicaid | CA | |
| 00A340140 | Other | CA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A34014 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barstow Primary Care Clinic | Current | Accepting new patients | |
| Fremont Women's Health, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Wellhealth Medical Group, PC | Obstetrics & Gynecology | Past | Accepting new patients |
| Fremont Women's Health, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
805 E Mountain View St
Barstow, CA 92311
Phone (760) 256-5026
Interoperability endpoints
- https://api.platform.athenahealth.com/7705/brand/1/csg/1/fhir/r4
- salexa02@yourcarecommunity.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Barstow, CA
- NPI 1871904656
-
- Obstetrics & Gynecology Physician
- Las Vegas, NV
- NPI 1255318648
-
- Obstetrics & Gynecology Physician
- Las Vegas, NV
- NPI 1841277209
-
- Obstetrics & Gynecology Physician
- Las Vegas, NV
- NPI 1679975361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1902984867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9260 W SUNSET RD",
"address_2": "SUITE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891484858",
"telephone_number": "702-255-3547",
"fax_number": "702-921-2419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9260 W SUNSET RD",
"address_2": "SUITE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891484858",
"telephone_number": "702-255-3547",
"fax_number": "702-921-2419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "SAM",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A34014",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NV",
"license": "12925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ALEXA0309",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A340140",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00A340140",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.