Individual provider Active NPI

Alexander Trebelev, MD

  • Vascular & Interventional Radiology Physician
  • Lewisberry, PA
National Provider Identifier
1104863489
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD428724 Issued in PA
Practice address
629D Lowther Rd
Lewisberry, PA 17339-9222
Phone
(717) 932-5200
Fax
(717) 932-3095
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MD428724 PA
Vascular & Interventional Radiology Physician 2085R0204X MD428724 PA Primary

Addresses

Primary practice location

629D Lowther Rd
Lewisberry, PA 17339-9222

Mailing address

629D Lowther Rd
Lewisberry, PA 17339-9222
Phone (717) 932-5200

Other practice location 1

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20090305000376 PA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3476619024 Reassigns benefits to 6 organizations
I20220518001114 NJ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3476619024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

4900 Frankford Ave
Suite 2
Philadelphia, PA 19124-2618
Phone (215) 831-2000

5501 Old York Rd
Phila, PA 19141-3018

5501 Old York Rd Levy 2
Einstein Pediatrics Associates
Philadelphia, PA 19141-3018
Phone (215) 456-6786

5501 Old York Rd WCB 4TH FLR
Einstein CT Surgery Assoc
Philadelphia, PA 19141-3018
Phone (215) 456-8270

559 W Germantown Pike
East Norriton, PA 19403-4250

609 W Germantown Pike
East Norriton, PA 19403-4250

9880 Bustleton Ave
Philadelphia, PA 19115-2185
Phone (215) 456-8242

Einstein Surgical Assocs
700 West Germantown Pike
East Norriton, PA 19403-4250
Phone (484) 622-7800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD428724PAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Jefferson University Radiology Associates, LLC CurrentSince Apr 1, 2022 Accepting new patients
University of Pittsburgh Physicians Body Imaging CurrentSince Sep 1, 2021 Accepting new patients
Geisinger Clinic Current Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc Body Imaging CurrentSince Oct 1, 2025 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Aug 1, 2022 Accepting new patients
Einstein Practice Plan Inc CurrentSince Oct 1, 2025 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Aug 16, 2021 Accepting new patients
Jefferson University Radiology Associates, LLC CurrentSince Apr 1, 2022 Accepting new patients
Jefferson University Physicians CurrentSince Apr 1, 2022 Accepting new patients
Jefferson University Radiology Associates, LLC CurrentSince Apr 1, 2022 Accepting new patients
Geisinger Clinic CurrentSince Aug 16, 2021 Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Aug 1, 2022 Accepting new patients
Jefferson University Radiology Associates LLC Current Accepting new patients

Locations

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

999 Route 73 N
Ste 101
Marlton, NJ 08053
Phone (856) 424-2929

243 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (609) 680-9263

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

100 N Academy Ave
Danville, PA 17822

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

529 High St
Lock Haven, PA 17745
Phone (570) 743-1703

780 Broad St
Montoursville, PA 17754
Phone (570) 368-2870

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900

4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

111 S 11th St
Fl 3
William Penn Annex West, PA 19107
Phone (215) 955-4804

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1104863489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629D LOWTHER RD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399222",
            "telephone_number": "717-932-5200",
            "fax_number": "717-932-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629D LOWTHER RD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399222",
            "telephone_number": "717-932-5200",
            "fax_number": "717-932-3095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREBELEV",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": "MD428724",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD428724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisberry, PA

Sources for this page

Verify at the official NPI Registry.