Individual provider Active NPI

Alex P Pallas, DO

  • Diagnostic Radiology Physician
  • McHenry, IL
National Provider Identifier
1235455262
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036151032 Issued in IL
Practice address
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone
(815) 334-5566
Fax
(815) 759-4008
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0204X 20A14311 CA
Diagnostic Radiology Physician 2085R0202X S7748 TX
Diagnostic Radiology Physician 2085R0202X OS020173 PA
Diagnostic Radiology Physician 2085R0202X 036151032 IL Primary
Diagnostic Radiology Physician 2085R0202X OS16401 FL

Addresses

Primary practice location

4201 W Medical Center Dr
McHenry, IL 60050-8409

Mailing address

1140 40TH St
Sacramento, CA 95819-3615
Phone (925) 209-0880

Other practice location 1

6305 Coyle Ave
Carmichael, CA 95608-0438
Phone (844) 327-6128

Other practice location 2

1702 Esplanade
Chico, CA 95926-3315
Phone (530) 898-0504

Other practice location 3

5974 Pentz Rd
Paradise, CA 95969-5509
Phone (530) 877-9361

Other practice location 4

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7300

Other practice location 5

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000 ext. 6764

Other practice location 6

1700 Old Gatesburg Rd
State College, PA 16803-2276
Phone (814) 278-3280

Other practice location 7

2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone (512) 244-4272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WV, IL, UT, KY, MI, PA, FL, NV9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20170525001359 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5991014169 Reassigns benefits to 10 organizations
I20200804001475 WV Practitioner - Radiation Oncology 5991014169 Reassigns benefits to 1 organization
I20201012000770 IL Practitioner - Diagnostic Radiology 5991014169 Reassigns benefits to 1 organization
I20220420002437 UT Practitioner - Interventional Radiology 5991014169 Reassigns benefits to 1 organization
I20230422000202 KY Practitioner - Diagnostic Radiology 5991014169 Reassigns benefits to 1 organization
I20230521000086 MI Practitioner - Diagnostic Radiology 5991014169 Reassigns benefits to 1 organization
I20240808003910 PA Practitioner - Diagnostic Radiology 5991014169 Reassigns benefits to 2 organizations
I20251120001840 FL Practitioner - Diagnostic Radiology 5991014169 Reassigns benefits to 1 organization
I20260106003084 NV Practitioner - Diagnostic Radiology 5991014169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Bellevue HospitalGroup PAC ID 6800863952, 10 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Universal Radiology Partners of NevadaGroup PAC ID 5799295259, 71 clinicians

Practice addresses (Care Compare)

Sacramento, CA 95819
Phone (419) 483-4040

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7300

1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470

1638 Esplanade
Chico, CA 95926-3313
Phone (530) 332-6200

225 W Hospitality LN
San Bernardino, CA 92408-3244
Phone (909) 890-5856

455 Hickey Blvd
Suite 200
Daly City, CA 94015-2630
Phone (650) 757-2030

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000

665 Munras Ave
Suite 109
Monterey, CA 93940-3136
Phone (831) 656-9800

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Desert View Hospital Hospital, Pahrump, NV, CCN 291311

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS16401FLMDDiagnostic Radiology Physician
036151032ILMDDiagnostic Radiology Physician
S7748TXMDDiagnostic Radiology Physician
20A14311CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Mountains Medical, LLC Single Specialty CurrentSince May 15, 2024 Accepting new patients
Tri-County Radiologists, Inc. Single Specialty CurrentSince Jan 2, 2025 Accepting new patients
Health Diagnostics of California a Professional Corporation Single Specialty CurrentSince Nov 11, 2025 Accepting new patients
The Bellevue Hospital Single Specialty CurrentSince Mar 23, 2025 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jul 1, 2020 Accepting new patients
Howard Simon MD PLLC Single Specialty CurrentSince Nov 11, 2025 Accepting new patients
Princeton Community Hospital Assn Inc. Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Simonmed Reno PLLC Single Specialty CurrentSince Nov 11, 2025 Accepting new patients
Universal Radiology Partners of Nevada LLC Single Specialty CurrentSince Oct 24, 2025 Accepting new patients
Baptist Health Medical Group Inc Single Specialty CurrentSince Apr 1, 2023 Accepting new patients
Health Diagnostics of California a Professional Corporation Single Specialty CurrentSince Nov 11, 2025 Accepting new patients
Highlands Hospital and Health Center Single Specialty CurrentSince May 30, 2024 Accepting new patients
South Valley Imaging LLC Single Specialty CurrentSince Feb 25, 2023 Accepting new patients
Sheridan Community Hospital Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Baptist Health Medical Group Inc Single Specialty CurrentSince Apr 1, 2023 Accepting new patients
Uintah Basin Medical Center CurrentSince Jan 15, 2022 Accepting new patients
Bayless Pathmark Inc Single Specialty Current Accepting new patients
Dubois Regional Medical Center CurrentSince May 30, 2024 Accepting new patients
Radiology & Nuclear Consultants LTD Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Enloe Medical Center Single Specialty CurrentSince Sep 1, 2018 Accepting new patients
Universal Radiology Partners of Florida LLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Uintah Basin Medical Center Single Specialty CurrentSince Jan 15, 2022 Accepting new patients
Smi Imaging, LLC Single Specialty CurrentSince Nov 11, 2025 Accepting new patients
Great Lakes Radiology Services Single Specialty CurrentSince Feb 18, 2025 Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince May 30, 2024 Accepting new patients
Monongahela Valley Hospital, Inc. Single Specialty CurrentSince May 30, 2024 Accepting new patients
Dignity Health Medical Foundation Single Specialty Current Accepting new patients
Enloe Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Monongahela Valley Hospital Inc Single Specialty Current Accepting new patients
Simonmed Imaging Florida LLC Single Specialty CurrentSince Nov 11, 2025 Accepting new patients
Mount Nittany Medical Center Health Services Inc Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Dubois Regional Medical Center Single Specialty CurrentSince May 30, 2024 Accepting new patients
Sheridan Community Hospital Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Highlands Hospital and Health Center CurrentSince May 30, 2024 Accepting new patients
Frank Olney & Rudy Nicolas PTRS Single Specialty CurrentSince Jun 4, 2025 Accepting new patients
Hsa HH LLC Past Accepting new patients
McLaren Lapeer Region Single Specialty Past Accepting new patients
McLaren Caro Region Single Specialty Past Accepting new patients
Castleview Hospital, LLC Single Specialty Past Accepting new patients
Palos Community Hospital Single Specialty Past Accepting new patients
Steward CGH, Inc. Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Northern Illinois Medical Center Past Accepting new patients
Hsa CGH LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Steward HH. Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
Licking Memorial Hospital Past Accepting new patients
Ashley Regional Medical Ctr Ekg Group Past Accepting new patients
Enloe Medical Center Single Specialty Past Accepting new patients
Princeton Community Hospital Assn. Inc. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations (25 of 41)

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

6305 Coyle Ave
Carmichael, CA 95608
Phone (916) 961-6920

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444

665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800

2380 Bechelli Ln
Redding, CA 96002
Phone (530) 226-1800

2020 Court St
Redding, CA 96001
Phone (530) 243-1236

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

225 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 888-5000

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

446 E Ontario St
Ste 106
Chicago, IL 60611
Phone (312) 440-0016

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

301 N Main St
Sheridan, MI 48884
Phone (989) 291-3261

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500

6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000

Interoperability endpoints

  • Direct secure messaging: apallas15380@enloedirect.org

Organizations & group practices 54

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 54

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1235455262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 40TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193615",
            "telephone_number": "925-209-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6305 Coyle Ave",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956080438",
            "country_code": "US",
            "telephone_number": "844-327-6128",
            "fax_number": "916-408-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1702 Esplanade",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959263315",
            "country_code": "US",
            "telephone_number": "530-898-0504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5974 Pentz Rd",
            "address_purpose": "LOCATION",
            "city": "Paradise",
            "state": "CA",
            "postal_code": "959695509",
            "country_code": "US",
            "telephone_number": "530-877-9361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1531 Esplanade",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959263310",
            "country_code": "US",
            "telephone_number": "530-332-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000 x6764",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Old Gatesburg Rd",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032276",
            "country_code": "US",
            "telephone_number": "814-278-3280",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 S Mays St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786647580",
            "country_code": "US",
            "telephone_number": "512-244-4272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALLAS",
        "first_name": "ALEX",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "20A14311",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S7748",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS020173",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036151032",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS16401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.