Active NPI
Alexandra Elder, MD
- Dermatology Physician
- Gahanna, OH
National Provider Identifier
1396370342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35.155315
- Practice address
- 540 Officenter PL
Gahanna, OH 43230-5317 - Phone
- (614) 293-1707
- Fax
- (614) 293-1716
- NPI assigned
- Mar 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 35.155315 | OH | |
| Dermatology Physician | 207N00000X | 35.155315 | OH | Primary |
Addresses
Primary practice location
540 Officenter PL
Gahanna, OH 43230-5317
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-1707
Other practice location 1
2111 E State St
Athens, OH 45701-2138
Phone (740) 566-4621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210701003907 | PA | Order and Referring Only - Internal Medicine | 4183025703 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osu Internal Medicine, LLC | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1396370342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-1707",
"fax_number": "614-293-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 OFFICENTER PL",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432305317",
"telephone_number": "614-293-1707",
"fax_number": "614-293-1716"
}
],
"practiceLocations": [
{
"address_1": "2111 E State St",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "OH",
"postal_code": "457012138",
"country_code": "US",
"telephone_number": "740-566-4621",
"fax_number": "740-566-4622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELDER",
"first_name": "ALEXANDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-10",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "OH",
"license": "35.155315",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35.155315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.