Active NPI
Alejandra Victoria Cardona Perez, MD
- Internal Medicine Physician
- Charleston, WV
National Provider Identifier
1023784964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36634
- Practice address
- 3100 Maccorkle Ave SE Ste 101
Charleston, WV 25304-1215 - Phone
- (304) 388-8240
- NPI assigned
- Aug 20, 2021
- Last updated
- Jul 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36634 | WV | Primary |
| Internal Medicine Physician | 207R00000X | 11022959A | IN |
Addresses
Primary practice location
3100 Maccorkle Ave SE Ste 101
Charleston, WV 25304-1215
Mailing address
400 Association Dr Ste 102
Charleston, WV 25311-1298
Phone (304) 388-0053
Other practice location 1
225 Gran Boulevard APT 92
Caguas, PR 00727
Phone (787) 237-2846
Other practice location 2
Escuela de Medicina San Juan Bautista Carr. 172
Caguas, PR 00727
Phone (787) 743-3038
Other practice location 3
1120 W Michigan St # Cl630
Indianapolis, IN 46202-5209
Phone (317) 278-2862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023784964 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230612003093 | IN | Order and Referring Only - Internal Medicine | 5092172791 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11022959A | IN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1023784964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 ASSOCIATION DR STE 102",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253111298",
"telephone_number": "304-388-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MACCORKLE AVE SE STE 101",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041215",
"telephone_number": "304-388-8240"
}
],
"practiceLocations": [
{
"address_1": "225 Gran Boulevard APT 92",
"address_purpose": "LOCATION",
"city": "Caguas",
"state": "PR",
"postal_code": "00727",
"country_code": "US",
"telephone_number": "787-237-2846",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Escuela de Medicina San Juan Bautista Carr. 172",
"address_purpose": "LOCATION",
"city": "Caguas",
"state": "PR",
"postal_code": "00727",
"country_code": "US",
"telephone_number": "787-743-3038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 W Michigan St # Cl630",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025209",
"country_code": "US",
"telephone_number": "317-278-2862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDONA PEREZ",
"first_name": "ALEJANDRA",
"middle_name": "VICTORIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "36634",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "11022959A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023784964",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.