Individual provider Active NPI

Alex T Alahakoon, MD

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1073672531
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.084175 Issued in OH
Practice address
6275 E Broad St
Columbus, OH 43213-1504
Phone
(614) 861-0967
Fax
(614) 861-0930
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.084175 OH Primary

Addresses

Primary practice location

6275 E Broad St
Columbus, OH 43213-1504

Mailing address

6275 E Broad St
Columbus, OH 43213-1504
Phone (614) 861-0967

Other names 1

  • Prabhu T Alahakoon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001732 OH Practitioner - Internal MedicinePractitioner - Emergency Medicine 5890771778 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.084175OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Internal Medicine CurrentSince Oct 10, 2011 Accepting new patients
Hospitalist Medicine Physicians of Muskingum County, LTD Internal Medicine Past Accepting new patients
Genesis Professional Corp Past Accepting new patients
Genesis Medical Group LLC Internal Medicine Past Accepting new patients

Locations

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1073672531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131504",
            "telephone_number": "614-861-0967",
            "fax_number": "614-861-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131504",
            "telephone_number": "614-861-0967",
            "fax_number": "614-861-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAHAKOON",
        "first_name": "ALEX",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.084175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRABHU",
            "last_name": "ALAHAKOON",
            "middle_name": "T",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.