Active NPI
Alex T Alahakoon, MD
- Internal Medicine Physician
- Columbus, OH
National Provider Identifier
1073672531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.084175
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.084175 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adena Medical Group LLC | Internal Medicine | Current | 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.
-
- General Practice Physician
- Zanesville, OH
- NPI 1063663433
Internal Medicine
-
- General Practice Physician
- Zanesville, OH
- NPI 1497755623
-
- Internal Medicine Physician
- Zanesville, OH
- NPI 1215977608
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.