ALEXANDER MARK AGELIDIS
NPI 1013595743
Internal Medicine in San Diego, CA

Q: What is Alexander Agelidis's NPI number?

The NPI number for Alexander Agelidis is 1013595743. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Alexander Agelidis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, Apr 1, 2021 (2 updates tracked since 2021).

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About Alexander Mark Agelidis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER MARK AGELIDIS (NPI 1013595743) is an individual internal medicine provider in San Diego, California, licensed in California (191561) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2021).

NPPES Registry Identity

NPI1013595743

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameALEXANDER MARK AGELIDIS

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273

Phone(800) 926-8273

Fax(888) 539-8781

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2021

Enumeration DateApril 1, 2021

Last NPPES UpdateJune 1, 20262 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1013595743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 191561

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 191561 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

200 W ARBOR DR, San Diego, CA 92103

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Secondary Practice Locations 3

Location 110666 N Torrey Pines RdLA Jolla, CA 92037-1027 · Phone (858) 554-3200

Location 21200 Garden View RdEncinitas, CA 92024-2477 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 3910 Sycamore Ave Ste 102Vista, CA 92081-7833 · Phone (800) 926-8273 · Fax (888) 539-8781

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexander Mark Agelidis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840762340

PECOS Enrollment IDI20260616002204

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Alexander Agelidis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California

Same address

Allergy & Immunology

200 W ARBOR DR
San Diego, CA 92103

Reassigned Medicare billing, California enrollment
1,051 clinicians in this Medicare group

NPI 1487772380 (800) 926-8273

Arch Health Partners

14 mi

Family Medicine

9878 CARMEL MOUNTAIN RD, SUITE B
San Diego, CA 92129

Reassigned Medicare billing, California enrollment
144 clinicians in this Medicare group

NPI 1568870657 (858) 675-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)