Active NPI
Alexander Feliz, MD
- Pediatric Surgery Physician
- Memphis, TN
National Provider Identifier
1982677167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 47822
- Practice address
- 51 N Dunlap St
Ste.230
Memphis, TN 38105 - Phone
- (901) 287-7337
- Fax
- (901) 287-4434
- NPI assigned
- Feb 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 47822 | TN | Primary |
Addresses
Primary practice location
51 N Dunlap St
Ste.230
Memphis, TN 38105
Mailing address
850 Poplar Ave
BLDG. 2
Memphis, TN 38105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101318887 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47822 | TN | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Lebonheur Pediatric Specialists, Inc. | Past | Accepting new patients | |
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients |
Interoperability endpoints
- afeliz21338@stjude.direct-ci.com
- https://epicproxy.et1342.epichosted.com/APIProxyPRD/MLH/api/FHIR/R4
- afeliz22097@mlh.direct-ci.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.
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530316800000",
"number": "1982677167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 POPLAR AVE",
"address_2": "BLDG. 2",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N DUNLAP ST",
"address_2": "STE.230",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38105",
"telephone_number": "901-287-7337",
"fax_number": "901-287-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELIZ",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2018-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "TN",
"license": "47822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101318887",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.