Individual provider Active NPI

Andrea Thomas Donalexis, MD

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1982951687
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME153060 Issued in FL
Practice address
300 Pinellas St
Clearwater, FL 33756-3804
Phone
(727) 462-7907
Fax
(727) 462-7904
NPI assigned
Aug 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.33456 AL
Family Medicine Physician 207Q00000X ME153060 FL Primary
Family Medicine Physician 207Q00000X MD60485834 WA

Addresses

Primary practice location

300 Pinellas St
Clearwater, FL 33756-3804

Mailing address

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7907

Other practice location 1

3908 10th St SE
Puyallup, WA 98374-2188
Phone (253) 848-5951

Other practice location 2

50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 930-2456

Other practice location 3

3908 10th St SE
Puyallup, WA 98374-2188
Phone (253) 848-5951

Other identifiers 1

IdentifierTypeStateIssuer
1982951687MedicaidWA

Other names 1

  • Andrea Lee Thomas(Birth)Rivers(First Marriage) Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Andrea.DonAlexis@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 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
I20170227000745 AL Practitioner - Family PracticePractitioner - Internal Medicine 3072763978 Reassigns benefits to 4 organizations
I20211130001018 FL Practitioner - Family PracticePractitioner - Hospitalist 3072763978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME153060FLMDFamily Medicine Physician
MD60485834WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC Family Medicine CurrentSince Apr 9, 2018 Accepting new patients
24 On Physicians, PC CurrentSince Nov 15, 2021 Accepting new patients
Baycare Medical Group, Inc. Family Medicine Current Accepting new patients
Oak Mountain Group Services, LLC Current Accepting new patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Mar 5, 2022 Accepting new patients
Concentric Hospitalist Group PC CurrentSince Sep 1, 2019 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Jan 1, 2017 Accepting new patients
Vincentian Physician Services LLC Family Medicine CurrentSince Oct 2, 2017 Accepting new patients
24 On Physicians, P.C. CurrentSince Nov 15, 2021 Accepting new patients
Baycare Medical Group, Inc Family Medicine CurrentSince Mar 5, 2022 Accepting new patients
Good Samaritan Community Healthcare Family Medicine PastSince Aug 12, 2014 Accepting new patients
Gardendale Physician Associates, P.C. PastSince Oct 2, 2017 Accepting new patients

Locations

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

50 Medical Park Dr E
Ste 158
Birmingham, AL 35235
Phone (205) 838-3156

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

300 Pinellas St
#47
Clearwater, FL 33756
Phone (727) 462-7907

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 12

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 2

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": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1982951687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PINELLAS ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563804",
            "telephone_number": "727-462-7907",
            "fax_number": "727-462-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PINELLAS ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563804",
            "telephone_number": "727-462-7907",
            "fax_number": "727-462-7904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3908 10th St SE",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983742188",
            "country_code": "US",
            "telephone_number": "253-848-5951",
            "fax_number": "253-845-7073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Medical Park Dr E",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353401",
            "country_code": "US",
            "telephone_number": "205-930-2456",
            "fax_number": "205-930-2469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3908 10th St SE",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983742188",
            "country_code": "US",
            "telephone_number": "253-848-5951",
            "fax_number": "253-845-7073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONALEXIS",
        "first_name": "ANDREA",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.33456",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME153060",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60485834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982951687",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Andrea.DonAlexis@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "THOMAS(BIRTH)RIVERS(FIRST MARRIAGE)",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.