Active NPI
Craig Holt Alexander, MD
- Adult Congenital Heart Disease Physician
- Danville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Congenital Heart Disease Physician
- License
- 48452
- Practice address
- 305 S. 4TH Street #201
Danville, KY 40422 - Phone
- (502) 584-3200
- Fax
- (502) 584-3333
- NPI assigned
- Jul 8, 2008
- Last updated
- Aug 14, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 48452 | KY | |
| Adult Congenital Heart Disease Physician | 207RA0002X | 48452 | KY | Primary |
Addresses
Primary practice location
305 S. 4TH Street #201
Danville, KY 40422
Mailing address
305 S. 4TH Street #201
Danville, KY 40422-2091
Phone (502) 584-3200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0141248 | Medicaid | OH | |
| 7100362960 | Medicaid | KY | |
| 201320800 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Louisville School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2765 Chapel PL
Crestview Hills, KY 41017-3413
Phone (859) 344-5390
3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200
3333 Burnet Ave
Cincinnati, OH 45229-3039
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48452 | KY | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
601 S Floyd St
Ste 602
Louisville, KY 40202
Phone (502) 585-4802
Interoperability endpoints
- calexander282604@direct.uchealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cincinnati Children's Hospital Medical Center
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
KY
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
dba ULP Radiological Associates
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Cincinnati, OH
- NPI 1548212988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1053574160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 S. 4TH STREET #201",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222091",
"telephone_number": "502-584-3200",
"fax_number": "502-584-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S. 4TH STREET #201",
"city": "DANVILLE",
"state": "KY",
"postal_code": "40422",
"telephone_number": "502-584-3200",
"fax_number": "502-584-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "CRAIG",
"middle_name": "HOLT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "KY",
"license": "48452",
"primary": false
},
{
"code": "207RA0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adult Congenital Heart Disease",
"state": "KY",
"license": "48452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0141248",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100362960",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201320800",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.