Individual provider Active NPI

Alexander Vladimirovich Iskrenko, M.D., PH.D.

  • Internal Medicine Physician
  • Amarillo, TX
National Provider Identifier
1972798411
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N7285 Issued in TX
Practice address
3631 Brennan Blvd Apt 6F
Amarillo, TX 79121-1641
Phone
(405) 255-5210
NPI assigned
Sep 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N7285 TX Primary
Hospitalist Physician 208M00000X N7285 TX

Addresses

Primary practice location

3631 Brennan Blvd Apt 6F
Amarillo, TX 79121-1641

Mailing address

20602 Osprey Way
San Antonio, TX 78256-1918
Phone (405) 255-5210

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100611000012 TX Practitioner - Internal Medicine 9234269630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

Practice addresses (Care Compare)

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Northeast Inpatient rehabilitation facility, Live Oak, TX, CCN 45T388

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients

Locations

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

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 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": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1972798411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20602 OSPREY WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561918",
            "telephone_number": "405-255-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 BRENNAN BLVD APT 6F",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211641",
            "telephone_number": "405-255-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKRENKO",
        "first_name": "ALEXANDER",
        "middle_name": "VLADIMIROVICH",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N7285",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N7285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.