Alexander E Fondaw, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0449361 Issued in KS

Practice address

5100 W 110TH St Ste 110
Overland Park, KS 66211-1215

Phone

(913) 345-6960

NPI assigned

Apr 16, 2019

Last updated

Jul 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

General Surgery

Education

University of Kansas School of Med (KC/Wich/Sal), 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Bariatric Surgeons, PLLCGroup PAC ID 4385612308, 8 clinicians

Capital Surgeons Group, PLLCGroup PAC ID 8527039031, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St David's Medical Center Hospital, Austin, TX, CCN 450431
• Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
• Baylor Scott & White Medical Center- Austin Hospital, Austin, TX, CCN 670136
• Baylor Scott & White Medical Center - Buda Hospital, Buda, TX, CCN 670131

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexander.fondaw.1@22422.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22422/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Surgeons Group, PLLC

  • Surgery Physician
  • Austin, TX
  • NPI 1891745592
  Medicare reassignment Care Compare group NPD
• Southwest Bariatric Surgeons PLLC

  • Surgery Physician
  • Austin, TX
  • NPI 1700836756
  Medicare reassignment Care Compare group NPD

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

• Ascension Seton

  dba Ascension Seton Medical Center Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1164526786
  Care Compare affiliation
• Baylor Scott & White Medical Centers - Capitol Area

  dba Baylor Scott & White Medical Center - Buda

  • General Acute Care Hospital
  • Buda, TX
  • NPI 1144781501
  Care Compare affiliation
• Baylor Scott & White Medical Centers - Capitol Area

  dba Baylor Scott & White Medical Center - Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1902366305
  Care Compare affiliation
• St. Davids Healthcare Partnership, L.P., LLP

  dba Heart Hospital of Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1356904361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WYANDOTTE ST UNIT 1011",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082580",
            "telephone_number": "316-737-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W 110TH ST STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111215",
            "telephone_number": "913-345-6960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 N Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575640",
            "country_code": "US",
            "telephone_number": "773-665-6730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1980 SE Blue Pkwy Ste 2120",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640631079",
            "country_code": "US",
            "telephone_number": "913-345-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONDAW",
        "first_name": "ALEXANDER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2023048097",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0449361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Musko Foley, LPC
• Jessica Foley, MSN FNP
• Jonna Danyale Foley, DPT
• Ryan Ryu Folmsbee, T-LPC
• Rick Folten, DC
• Foot Care Plus LLC
• Foot Clinic, LLC
• Foot Specialists of Kansas City, PA
• Thomas Edward Forbach, D.C.
• Brietta Kathleen Forbes, MD

• Surgery Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.