Alexander Joseph Acuna, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Chicago, IL
NPI 1508501487 · NPPES record last updated Jun 23, 2022
Key facts
- NPI
- 1508501487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 125.080386 (IL)
- Practice address
- 600 S Paulina St Ste 403
Chicago, IL 60612-3806 - Phone
- (312) 942-0312
- NPI assigned
- May 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20220730000320 | IL | Order and Referring Only - Orthopedic Surgery |
4789066275 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.080386 | IL | MD | Orthopaedic Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery Physician |
207X00000X | 125.080386 | IL | Yes |
Addresses
Primary practice location
600 S Paulina St Ste 403
Chicago, IL 60612-3806
Mailing address
1718 E Jefferson Blvd
South Bend, IN 46617-3445
Phone (407) 562-8697
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2022. 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.