Alexandra Steele Jenkins, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

T9929 Issued in TX

Practice address

909 E Southeast Loop 323 Ste 110
Tyler, TX 75701-9675

Phone

(903) 531-2850

NPI assigned

Jun 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Texas Medical School at San Antonio, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology of East Texas PAGroup PAC ID 0345476578, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dermatology of East Texas PA

  • Dermatology Physician
  • Tyler, TX
  • NPI 1679905673
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1912565193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 HOLLY LEAF DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030923",
            "telephone_number": "512-924-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E SOUTHEAST LOOP 323 STE 110",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019675",
            "telephone_number": "903-531-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ALEXANDRA",
        "middle_name": "STEELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "T9929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Gilroy MD PA
• Jeffrey N Bowman DPM PC (Houston Foot Specialists)
• Tanya R Jeffries
• Marshall Scott Jelden, ATC, LAT
• Jencare
• Jason Todd Jenkins, MABC LPC
• Mark Jenkins, APRN-FNP-C
• Tammy Jenkins
• Carolyn Gerhardt Jenks, D.O.
• Jennifer Jennings

• Dermatology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.

Verify at the official NPI Registry.