Individual provider Active NPI

Alexander James Cherry, M.D.

  • Ophthalmology Physician
  • Lexington, KY
National Provider Identifier
1053796730
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
TP313 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536-0293
Phone
(849) 323-5867
NPI assigned
Jul 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R3738 KY
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X TP313 KY Primary

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536-0293

Mailing address

740 S Limestone
Ophthalmology
Lexington, KY 40536-0293
Phone (859) 323-5867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200526002769 OH Practitioner - Ophthalmology 6901190040 Reassigns benefits to 1 organization
I20200722003331 MI Practitioner - Ophthalmology 6901190040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Michigan Eye Care Center PCGroup PAC ID 4486566098, 31 clinicians
DRS Ravin Birndorf and Ravin IncGroup PAC ID 2860487964, 7 clinicians

Practice addresses (Care Compare)

1116 W Ganson St
Jackson, MI 49202-4240
Phone (517) 782-9436

1801 W Maumee St
Suite 100
Adrian, MI 49221-1291
Phone (517) 265-6131

3000 Regency CT
Suite 100
Toledo, OH 43623-3081
Phone (800) 832-2015

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TP313KYMDSports Medicine (Family Medicine) Physician
R3738KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Eye Care Center, PC Ophthalmology CurrentSince Jul 21, 2020 Accepting new patients
DRS. Ravin, Birndorf & Ravin, Inc. Ophthalmology CurrentSince Jul 15, 2020 Accepting new patients
University of Kentucky Past Accepting new patients

Locations

1801 W Maumee St
Ste 100
Adrian, MI 49221
Phone (517) 265-6131

2350 E Stadium Blvd
Ste 10
Ann Arbor, MI 48104
Phone (734) 404-7600

1600 Commerce Park Dr
Ste 100
Chelsea, MI 48118
Phone (734) 475-7359

850 W North St
#104
Jackson, MI 49202
Phone (248) 647-9790

850 W North St
Ste 100
Jackson, MI 49202
Phone (517) 290-5298

1116 W Ganson St
Jackson, MI 49202
Phone (517) 782-9436

2775 Blake Rd
Jackson, MI 49201
Phone (517) 787-2906

100 S Lynn St
Bryan, OH 43506
Phone (419) 636-0440

3000 Regency Ct
Ste 100
Toledo, OH 43623
Phone (419) 882-2020

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1053796730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE",
            "address_2": "OPHTHALMOLOGY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-323-5867",
            "fax_number": "859-257-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "849-323-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "ALEXANDER",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-23",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "R3738",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "TP313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.