Alison Alexander, MD
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Narbeth, PA
NPI 1215096243 · NPPES record last updated Mar 8, 2024
Key facts
- NPI
- 1215096243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- MD056081-L (PA)
- Practice address
- Mainline Medical Group
857 Montgomery Avenue
Narbeth, PA 19072 - Phone
- (610) 664-2951
- Fax
- (610) 664-2131
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20070302000276 | PA | Practitioner - Internal Medicine |
2264534684 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD056081-L | PA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Medical Group LTD | Geriatric Medicine | Current |
Accepting new patients |
| Einstein Practice Plan Inc | Internal Medicine | Current |
Accepting new patients |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current |
Accepting new patients | |
| Temple Physicians Inc | Internal Medicine | Past | Accepting new patients |
| Ivy Hill Post Acute Nursing & Rehabilitation | Past | Accepting new patients | |
| Albert Einstein Medical Center | Past | Accepting new patients | |
| Harold T Green Jr MD PC | Past | Accepting new patients | |
| CH Operating, LLC | Past | Accepting new patients | |
| Temple Physicians Inc. | Past | Accepting new patients | |
| Temple Physicians Inc | Internal Medicine | Past | Accepting new patients |
| Temple Physicians Inc | Past | Accepting new patients |
Locations
857 Montgomery Ave
Penn Valley, PA 19072
Phone (610) 664-2951
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
7101 Old York Rd
Philadelphia, PA 19126
Phone (215) 424-4000
1401 Ivy Hill Rd
Philadelphia, PA 19150
Phone (215) 233-5605
1 Penn Blvd
Philadelphia, PA 19144
Phone (215) 951-8060
5501 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 456-8220
8833 Stenton Ave
Wyndmoor, PA 19038
Phone (215) 509-6826
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD056081-L | PA | Yes |
Addresses
Primary practice location
Mainline Medical Group
857 Montgomery Avenue
Narbeth, PA 19072
Mailing address
PO Box 820933
Phila, PA 19182-0933
Phone (215) 926-9022
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1957179 | Other | PA | HBS |
| 2836592000 | Other | PA | IBC/KHPE/PC |
| 1855795 | Other | PA | CIGNA PIN |
| 2053189 | Other | PA | UNITED HEALTHCARE |
| 597586 | Other | PA | MEDICARE GROUP |
| P00721294 | Other | PA | RR MEDICARE |
| 5552322 | Other | PA | AETNA PIN |
| 102117408 | Medicaid | PA | |
| 3Y6260 | Other | PA | HEALTH NET |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.