Individual provider Active NPI

Alexandre Antonio De Moraes, M.D.

  • Family Medicine Physician
  • Napa, CA
National Provider Identifier
1942284831
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A66851 Issued in CA
Practice address
3010 Beard Rd
Napa, CA 94558-3442
Phone
(707) 257-1550
Fax
(707) 257-8219
NPI assigned
Dec 3, 2005
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60183294 WA
Family Medicine Physician 207Q00000X A66851 CA Primary

Addresses

Primary practice location

3010 Beard Rd
Napa, CA 94558-3442

Mailing address

3010 Beard Rd
Napa, CA 94558-3442
Phone (707) 255-8825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091211000524 CA Practitioner - Family PracticePractitioner - Emergency Medicine 1153300959 Reassigns benefits to 3 organizations
Practice locations: Napa, CA
I20101111000115 WA Practitioner - Family Practice 1153300959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Discover Health Medical Group 2 IncGroup PAC ID 1759709843, 6 clinicians

Practice addresses (Care Compare)

2950 Northup Way
Suite 210
Bellevue, WA 98004-1406
Phone (425) 284-3377

3010 Beard Rd
Napa, CA 94558-3442
Phone (707) 257-1550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
14.89 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
49.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions11
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66851CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Health Medical Group 2, Inc. Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Anchor Health LLC Family Medicine CurrentSince Nov 22, 2023 Accepting new patients
Personalized Care MD CurrentSince Jan 1, 2019 Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients
Continuum Care Hospice LLC Family Medicine Past Accepting new patients
Brennan Friedman and Kapjian a Professional Corporation Family Medicine Past Accepting new patients
Eastside Premier Medicine PLLC PastSince Aug 23, 2024 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Overlake Medical Center & Clinics Past Accepting new patients

Locations

6500 Coyle Ave
Ste 1
Carmichael, CA 95608
Phone (916) 961-8580

1100 Trancas St
Ste 240
Napa, CA 94558
Phone (707) 253-1036

3010 Beard Rd
Napa, CA 94558
Phone (707) 257-1550

4055 Solano Ave
Napa, CA 94558
Phone (707) 257-1550

505 San Marin Dr
Ste B100
Novato, CA 94945
Phone (415) 598-0944

2950 Northup Way
Ste 210
Bellevue, WA 98004
Phone (425) 284-3377

Interoperability endpoints

  • Direct secure messaging: a@direct.elationemr.com
  • Direct secure messaging: alexandre.de.moraes.1@25975.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10147/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Anchor HealthPetaluma, CA, CCN A11746 Hospice Contracted Managing Employee Dec 10, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 10

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": "1133568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1942284831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 BEARD RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583442",
            "telephone_number": "707-255-8825",
            "fax_number": "707-252-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 BEARD RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583442",
            "telephone_number": "707-257-1550",
            "fax_number": "707-257-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MORAES",
        "first_name": "ALEXANDRE",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-03",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60183294",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.