Alex Penev, MD, PHD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

PENDING Issued in WA

Practice address

1959 NE Pacific St
Seattle, WA 98195-0001

Phone

(206) 543-1140

NPI assigned

Mar 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Aleks Penev Other name

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1538818299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 E 90TH ST APT 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282341",
            "telephone_number": "312-860-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-543-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENEV",
        "first_name": "ALEX",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "WA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEKS",
            "last_name": "PENEV",
            "credential": "MD, PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mikaela Pendleton
• Holly Ann Pendragon
• Jane Ashley Pendras-Verdon, MA, LMHCA
• Maureen Pendras, MSW
• Theresa Jacqueline Sally Pendras
• Leslie Penfold
• Changhong Peng, PHARM.D.
• Chin Chun Peng, DDS, MSD, FACP
• Holly W Peng, MD
• Lilia Peng, ND, DNP, PMHNP-BC

• Anatomic Pathology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Anatomic Pathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.

Verify at the official NPI Registry.