ALEXANDER BOEPPLE SU – Family Medicine Physician, NPI 1043604069

ALEXANDER BOEPPLE SU is a healthcare provider. based in Miami, Florida. specializing in FAMILY PRACTICE. They hold a License No. ME131452 (FL). The NPI Number for ALEXANDER BOEPPLE SU is 1043604069

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER BOEPPLE SU
NPI
1043604069
Phone
Not provided
Address
1611 NW 12TH AVE
Enumeration Date
27 March 2015
Last Update Date
24 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3055859210
Graduation Year
2015 (11 years ago)
PAC ID
0446598361
Group Practice PAC ID
8628981925
Professional Enrollment ID
I20190218003017
Address ID
FL331812013NO13120BLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for ALEXANDER BOEPPLE SU

  • 1611 NW 12TH AVE

    MIAMI, FL 331361005

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190218003017IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
87804Detection test by immunoassay with direct visual observation for influenza virus1211$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 33136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628981925View full group profile

Reviews

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Frequently asked questions

What identifier follows ALEXANDER BOEPPLE SU across health systems?
The NPI 1043604069 uniquely identifies ALEXANDER BOEPPLE SU in U.S. healthcare data.
Quick check: is ALEXANDER BOEPPLE SU active?
Public NPPES data shows ALEXANDER BOEPPLE SU with an active NPI status right now.
How should patients interpret ALEXANDER BOEPPLE SU's specialty?
The extract shows Family Medicine Physician for ALEXANDER BOEPPLE SU. Clinical services aligned with this taxonomy classification.
Is ALEXANDER BOEPPLE SU tied to Miami, Florida?
If you are local to Miami, Florida, ALEXANDER BOEPPLE SU may be relevant to your search.
Who maintains ALEXANDER BOEPPLE SU's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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