Individual provider Active NPI

Alexander Eric Fong, MD

  • Neurology Physician
  • Merriam, KS
National Provider Identifier
1326201658
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0437003 Issued in KS
Practice address
7450 Kessler St Ste 205
Merriam, KS 66204-2553
Phone
(913) 632-9810
Fax
(913) 632-9828
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0437003 KS
Neurology Physician 2084N0400X 0437003 KS Primary

Addresses

Primary practice location

7450 Kessler St Ste 205
Merriam, KS 66204-2553

Mailing address

7450 Kessler St Ste 205
Merriam, KS 66204-2553
Phone (913) 632-9810

Other practice location 1

8800 W 75th St
Suite 100
Merriam, KS 66204-2205
Phone (913) 632-9810

Other identifiers 1

IdentifierTypeStateIssuer
201215160MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140408002023 KS Practitioner - Neurology 4587896428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Mississippi School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shawnee Mission Medical Center IncGroup PAC ID 9537119037, 282 clinicians

Practice addresses (Care Compare)

9100 W 74TH St
Merriam, KS 66204-4004

9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100

Hospital & facility affiliations

  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208
  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0437003KSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc Internal Medicine CurrentSince Apr 14, 2014 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Internal Medicine Past Accepting new patients

Locations

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

8800 W 75th St
Ste 100
Shawnee Msn, KS 66204
Phone (913) 384-4200

7450 Kessler St
Ste 203
Shawnee Msn, KS 66204
Phone (913) 676-7585

7450 Kessler St
Ste 205
Shawnee Msn, KS 66204
Phone (913) 632-9810

Interoperability endpoints

  • Direct secure messaging: afong661860@adventhealth.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1326201658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 205",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042553",
            "telephone_number": "913-632-9810",
            "fax_number": "913-632-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 205",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042553",
            "telephone_number": "913-632-9810",
            "fax_number": "913-632-9828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 W 75th St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Merriam",
            "state": "KS",
            "postal_code": "662042205",
            "country_code": "US",
            "telephone_number": "913-632-9810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONG",
        "first_name": "ALEXANDER",
        "middle_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0437003",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "0437003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201215160",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.