Eben Alexander IV, D.O.
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Fort Collins, CO
NPI 1164089058 · NPPES record last updated Jul 18, 2024
Key facts
- NPI
- 1164089058
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- DR.0073620 (CO)
- Practice address
- 2500 E Prospect Rd
Fort Collins, CO 80525-9718 - Phone
- (970) 493-0112
- Fax
- (970) 493-1794
- NPI assigned
- May 26, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 31
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Orthopaedic and Spine Center of the Rockies PC
Select Physical Therapy of West Denver Limited Partnership
Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112
2964 Ginnala Dr
Loveland, CO 80538-2701
Phone (970) 667-7755
730 14TH St SW
Loveland, CO 80537-6349
Phone (970) 663-0815
Hospital & facility affiliations
- Banner North Colorado Medical Center
- Poudre Valley Hospital
- Banner North Co Medical Center - Loveland Campus
- Uchealth Greeley Hospital
- Medical Center of the Rockies
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220907000788 | VA | Practitioner - Physical Medicine and Rehabilitation | 9335563691 | |
| I20240827003911 | CO | Practitioner - Physical Medicine and Rehabilitation |
9335563691 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0073620 | CO | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic & Spine Center of the Rockies PC | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
| Patient First Richmond Medical Group PLLC | Past | Accepting new patients |
Locations
2500 E Prospect Rd
Fort Collins, CO 80525
Phone (800) 722-7441
1926 61st Ave
Greeley, CO 80634
Phone (970) 573-3224
3470 E 15th St
Loveland, CO 80538
Phone (970) 663-3975
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0102207354 | VA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | OS023243 | PA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | DR.0073620 | CO | |
| Physical Medicine & Rehabilitation Physician | 208100000X | DR.0073620 | CO | Yes |
Addresses
Primary practice location
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Mailing address
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112
Other practice location 1
1926 61st Ave
Greeley, CO 80634-8165
Phone (970) 573-3224
Other practice location 2
3470 E 15th St
Loveland, CO 80538-8809
Phone (970) 663-3975
Other providers in Fort Collins, CO
- Laura Bailey Aleman
- Richard Donald Alessi
- Alexander Home Healthcare LLC
- Alexander Home Healthcare LLC
- Deanna Swafford Alexander
- Guy Thomas Alexander
- Jan W Alexander
- Kerry Alexander
- Lacey L Alexander
- Nicole Jean Alexander
All providers in Fort Collins, CO · Physical Medicine & Rehabilitation Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.