DR. ALEXANDER FERNANDO SAN DIEGO JR. D.P.M.
NPI 1053678052
Podiatrist - Foot & Ankle Surgery in Merritt Island, FL

Q: What is Alexander San Diego's NPI number?

The NPI number for Alexander San Diego is 1053678052. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Q: What is Alexander San Diego's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since April 13, 2012PECOS EnrolledAccepts Medicare Assignment

58.96/100

CMS Quality Rating

2404 N COURTENAY PKWY, MERRITT ISLAND, FL 32953(321) 452-1327(321) 454-9208 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Alexander Fernando San Diego Jr. D.p.m. NPPES

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

DR. ALEXANDER FERNANDO SAN DIEGO JR. D.P.M. (NPI 1053678052) is an individual foot & ankle surgery provider in Merritt Island, Florida, licensed in Florida (PO3686) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2012).

NPPES Registry Identity

NPI1053678052

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. ALEXANDER FERNANDO SAN DIEGO JR.Credential: D.P.M.

Location Address2404 N COURTENAY PKWYMerritt Island, FL 32953-4191

Mailing Address2404 N Courtenay PkwyMerritt Island, FL 32953-4191 · (321) 452-1327 · Fax (321) 454-9208

Phone(321) 452-1327

Fax(321) 454-9208

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2012

Enumeration DateApril 13, 2012

Last NPPES UpdateAugust 24, 2015

✔ NPI 1053678052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in FL · PO3686

2404 N COURTENAY PKWY, Merritt Island, FL 32953

Open in Google Maps ↗

Other Identifiers 2

Other1053678052Npi

Other13574563Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Network Health and more.Insurance ›

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

Dr. Alexander Fernando San Diego Jr. D.p.m. 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 ID6709104482

PECOS Enrollment IDI20160412000992, I20221026002936, I20221101003416, I20230320000933, I20230411001579, I20230608003144

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 San Diego reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Merritt Island Foot & Ankle Inc

Same address

Foot & Ankle Surgery

2404 N COURTENAY PKWY
Merritt Island, FL 32953

Reassigned Medicare billing, Florida enrollment
6 clinicians in this Medicare group

NPI 1427236199 (321) 452-1327

Preferred Podiatry Group PC

1,008 mi

Podiatrist

225 W WASHINGTON ST STE 1500
Chicago, IL 60606

Reassigned Medicare billing, Illinois, Colorado, Florida, Georgia, Tennessee and Wisconsin enrollments
Also billed through NPI 1720037138 (Wisconsin)
44 clinicians in this Medicare group

NPI 1316360613 (847) 504-5000

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

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

2,719 services2,201 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

2,711 services2,192 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

1,341 services1,095 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

592 services591 patients

Removal of fingernails or toenails, 1-5 nails 11720

575 services430 patients

Trimming of dystrophic nails, any number G0127

570 services429 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

341 services261 patients

Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99341

A new patient home visit is a brief, 20-minute appointment where a healthcare professional comes to your home. This visit is to understand your health needs, answer your queries, and plan your care. It's a convenient way to start your healthcare journey.

281 services281 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

278 services231 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

147 services146 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

117 services94 patients

Removal of fingernails or toenails, 6 or more nails 11721

89 services69 patients

Removal of noncancer thickened skin growth, 1 growth 11055

23 services15 patients

Trimming of fingernails or toenails 11719

Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.

17 services14 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

15 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

58.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.94

Promoting Interoperability

Improvement Activities

Cost

45.25

Other Providers at the Same Location NPPES 5

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

DR. JOHN W KNAPPMAN M.D.

Family Medicine

2404 N COURTENAY PKWY, SUITE D
MERRITT ISLAND, FL 32953

Brevard County (321) 452-4470

DR. MARK BEYLIN DPM

Podiatrist (Foot & Ankle Surgery)

2404 N COURTENAY PKWY
MERRITT ISLAND, FL 32953

Brevard County (321) 452-1327

MERRITT ISLAND FOOT & ANKLE INC

Podiatrist (Foot & Ankle Surgery)

2404 N COURTENAY PKWY
MERRITT ISLAND, FL 32953

Brevard County (321) 452-1327

GREGORY A KIRK MD

Family Medicine

2404 N COURTENAY PKWY, STE D
MERRITT ISLAND, FL 32953

Brevard County (321) 452-4470

JOHN W KNAPPMAN MD

Family Medicine

2404 N COURTENAY PKWY, STE D
MERRITT ISLAND, FL 32953

Brevard County (321) 452-4470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander San Diego's NPI number?

The NPI number for Alexander San Diego is 1053678052. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Alexander San Diego located?

Alexander San Diego practices at 2404 N Courtenay Pkwy, Merritt Island, FL 32953. The listed phone number is (321) 452-1327.

What is Alexander San Diego's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Alexander San Diego enrolled in Medicare?

Yes. Alexander San Diego is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alexander San Diego's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander San Diego reassigns Medicare benefits to 2 organizations: Merritt Island Foot & Ankle Inc (Merritt Island, FL) and Preferred Podiatry Group PC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexander San Diego's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexander San Diego accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Network Health and UnitedHealthcare list Alexander San Diego as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexander San Diego was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.