MRS. ALEXANDRA BLUE SANROMA PA-C
NPI 1497128722
Physician Assistant - Medical in Little Rock, AR

Active since November 09, 2015PECOS EnrolledAccepts Medicare Assignment
500 S UNIVERSITY AVE, LITTLE ROCK DERMATOLOGY CLINIC SUITE 301, LITTLE ROCK, AR 72205(501) 664-4161(501) 664-6108 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2022, Nov 9, 2015 (2 updates tracked since 2015).

About Mrs. Alexandra Blue Sanroma Pa-c NPPES

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

MRS. ALEXANDRA BLUE SANROMA PA-C (NPI 1497128722) is an individual medical provider in Little Rock, Arkansas, licensed in Arkansas (P-T1551) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1497128722
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ALEXANDRA BLUE SANROMACredential: PA-C
Location Address500 S UNIVERSITY AVE, LITTLE ROCK DERMATOLOGY CLINIC SUITE 301Little Rock, AR 72205-5302
Mailing Address500 S University Ave, Little Rock Dermatology Clinic Suite 301Little Rock, AR 72205-5302 · (501) 664-4161 · Fax (501) 664-6108
Fax(501) 664-6108
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 9, 2015
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
NPI 1497128722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AR · P-T1551
500 S UNIVERSITY AVE, Little Rock, AR 72205

Other Names 1

Former Name (1)Mrs. Alexandra Blue Gonzalez Pa-c

Other Identifiers 1

OtherP-T1551AR · State

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Alexandra Blue Sanroma Pa-c 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 ID9830493881
PECOS Enrollment IDI20160211000728
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.

Areas of Expertise CMS Part B claims 12

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
632 services104 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
247 services178 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
204 services158 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
164 services133 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
128 services109 patients
Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) J7308
Aminolevulinic Acid HCL is a medication applied to the skin to treat certain types of skin conditions. It works by making the skin more sensitive to light, which helps to kill abnormal skin cells. The 20% solution is a single dose of 354 mg.
108 services33 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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%3,654 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%196 patients4/55-star benchmark: 95%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
98%126 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Podiatrist (Foot Surgery)
500 S UNIVERSITY AVE, SUITE 707
LITTLE ROCK, AR 72205
Allergy & Immunology
500 S UNIVERSITY AVE, SUITE 215
LITTLE ROCK, AR 72205
Family Medicine
500 S UNIVERSITY AVE, SUITE 515
LITTLE ROCK, AR 72205
Registered Nurse
500 S UNIVERSITY AVE, SUITE 815
LITTLE ROCK, AR 72205
Internal Medicine (Nephrology)
500 S UNIVERSITY AVE, SUITE 508
LITTLE ROCK, AR 72205
Anesthesiology
500 S UNIVERSITY AVE, SUITE 505
LITTLE ROCK, AR 72205
Clinic/Center (Radiology, Mammography)
500 S UNIVERSITY AVE, SUITE 114
LITTLE ROCK, AR 72205
Radiology (Diagnostic Radiology)
500 S UNIVERSITY AVE, SUITE 101
LITTLE ROCK, AR 72205

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 Alexandra Sanroma's NPI number?

The NPI number for Alexandra Sanroma is 1497128722. It was assigned to this individual provider in the NPPES registry on November 9, 2015. The provider is also known as Mrs. Alexandra Blue Gonzalez Pa-C.

Where is Alexandra Sanroma located?

Alexandra Sanroma practices at 500 S University Ave Little Rock Dermatology Clinic Suite 301, Little Rock, AR 72205. The listed phone number is (501) 664-4161.

What is Alexandra Sanroma's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alexandra Sanroma enrolled in Medicare?

Yes. Alexandra Sanroma 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.

What insurance does Alexandra Sanroma accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Alexandra Sanroma 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 Alexandra Sanroma was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.