Alex B Bodenstab, MD

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

CI0002138 Issued in DE

Practice address

4745 Ogletown Stanton Rd Ste 225
Newark, DE 19713-1387

Phone

(302) 731-2888

Fax

(302) 731-7049

NPI assigned

Jan 18, 2006

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Orthopedic Surgery

Education

Jefferson Medical College of Thomas Jefferson University, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
• Christiana Hospital Hospital, Newark, DE, CCN 080001

Merit-based Incentive Payment System (MIPS)

Final score

97.8 of 100Reported as group

Quality

96

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alex.bodenstabmd.p1@direct.fsoortho.nextgenshare.com

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.

• Diagnostic Medical Imaging Enterprises LTD

  • Physiological Laboratory
  • Northampton, PA
  • NPI 1275709396
  NPD (past) Authorized official
• Diagnostic Medical Imaging Enterprises, LTD

  • Physiological Laboratory
  • Northampton, PA
  • NPI 1992784375
  NPD (past) Authorized official
• Agape Physical Therapy & Sports Rehabilitation LP

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1578900668
  Care Compare group
• First State Orthopaedics PA

  dba Orthopaedic Associates of Southern Delaware

  • Orthopaedic Surgery Physician
  • Lewes, DE
  • NPI 1184681488
  NPD
• First State Orthopaedics PA

  • Radiology Clinic/Center
  • Newark, DE
  • NPI 1316294218
  NPD
• First State Orthopaedics PA

  dba Rise Physical Therapy

  • Physical Therapist
  • Newark, DE
  • NPI 1679458327
  NPD
• First State Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • Newark, DE
  • NPI 1346220266
  NPD (past)

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

• Christiana Care Home Health and Community Services, Inc.

  dba Christiana Care Visiting Nurse Association

  • Home Health Agency
  • Wilmington, DE
  • NPI 1437152154
  Care Compare affiliation Name & address match
• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1104806025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EXECUTIVE DR STE 11",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023358",
            "telephone_number": "302-731-2888",
            "fax_number": "302-731-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 OGLETOWN STANTON RD STE 225",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131387",
            "telephone_number": "302-731-2888",
            "fax_number": "302-731-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENSTAB",
        "first_name": "ALEX",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DE",
            "license": "CI0002138",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "DE",
            "license": "CI0002138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Hen Physical Therapy, Inc. (NovaCare Rehabilitation)
• Joseph Blue
• Susan N. Bluhm, ACNP
• Jacob D Bly
• Janice E Boc, NNP
• Ann Marie Bodi, NNP
• Charles R Bodine
• Body Brain Sync, Inc
• Body Ease Therapy LLP
• Phillip Boggs, AGACNP-BC

• Adult Reconstructive Orthopaedic Surgery Physician in Newark, DE
• Providers in Newark, DE by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.

Verify at the official NPI Registry.