DR. ALEX ZELENKA MD PA NPI 1023297199

Internal Medicine in Tampa, FL

NPI 1023297199 Individual Female Years of Experience 25 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About ALEX ZELENKA

Alex Zelenka is an internal medicine provider established in Tampa, Florida and her medical specialization is internal medicine with more than 25 years of experience. She graduated from State University Of New York At Buffalo School Of Medicine in 1996. The NPI number of Alex Zelenka is 1023297199 and was assigned on October 2007. The practitioner's primary taxonomy code is 207R00000X with license number ME88286 (FL). The provider is registered as an individual and her NPI record was last updated 13 years ago.

An internist like Dr. Alex Zelenka Md Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Alex Zelenka is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Alex Zelenka is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with St Josephs Hospital, Morton Plant Hospital and Morton Plant Mease Healthcare Countryside.

NPI

1023297199

Provider NameDR. ALEX ZELENKA MD PA
Provider Location Address11321 COUNTRYWAY BLVD TAMPA, FL 33626
Provider Mailing Address14609 GALT LAKE DR TAMPA, FL 33626
GenderFemale
NPI Entity TypeIndividual
Medical School NameSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year1996
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-25-2007
Last Update Date10-20-2008


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.ME88286
License StateFL
Taxonomy DescriptionA 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.

Business Address

DR. ALEX ZELENKA MD PA
11321 COUNTRYWAY BLVD
TAMPA, FL
ZIP 33626
Phone: (727) 641-6840

Get Directions


Mailing Address

DR. ALEX ZELENKA MD PA
14609 GALT LAKE DR
TAMPA, FL
ZIP 33626
Phone: (813) 926-3840
Fax: (813) 926-3840



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5294899381
PECOS Enrollment IDI20090204000651
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 60Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 24Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 22Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)
  • 20Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 19Administration of influenza virus vaccine (HCPCS:G0008)
  • 18Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 18Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Alex Zelenka is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST JOSEPHS HOSPITAL3001 W MARTIN LUTHER KING JR BLVD
TAMPA, FL 33677
(813) 870-4398Acute Care Hospitals100075
MORTON PLANT HOSPITAL300 PINELLAS ST
CLEARWATER, FL 33756
(727) 462-7000Acute Care Hospitals100127
MORTON PLANT MEASE HEALTHCARE COUNTRYSIDE3231 MCMULLEN BOOTH RD
SAFETY HARBOR, FL 34695
(727) 734-6950Acute Care Hospitals100265

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932378882ALEX ZELENKA MD PA
Organization
Internal Medicine11321 COUNTRYWAY BLVD
TAMPA, FL 33626
(813) 814-4204
1427312545 DANIELLE NICHOL GODIN D.M.D
Individual
Dentist11321 COUNTRYWAY BLVD
TAMPA, FL 33626
(941) 875-3823
1639653611TAMPA DENTAL WELLNESS OF WESTCHASE
Organization
Clinic/Center (Dental)11321 COUNTRYWAY BLVD
TAMPA, FL 33626
(813) 855-2273

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.