Individual provider Active NPI

Alexander John Felt, PA-C

  • Physician Assistant
  • Greenwood, IN
National Provider Identifier
1548619190
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002053A Issued in IN
Practice address
679 E County Line Rd
Greenwood, IN 46143-1049
Phone
(317) 859-7222
Fax
(317) 859-7220
NPI assigned
Jun 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1133601 IN
Physician Assistant 363A00000X 10002053A IN Primary

Addresses

Primary practice location

679 E County Line Rd
Greenwood, IN 46143-1049

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 807-1266

Other identifiers 1

IdentifierTypeStateIssuer
000001159099OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologyin@directaddress.net Urology of Indiana L.L.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161019001794 IN Practitioner - Physician Assistant 1456649706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of Indiana LLCGroup PAC ID 7517870009, 79 clinicians

Practice addresses (Care Compare)

1270 N Post Rd
A
Indianapolis, IN 46219-4209
Phone (317) 895-6095

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 859-7222

Hospital & facility affiliations

  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
  • Community Hospital South, Inc. Hospital, Indianapolis, IN, CCN 150128
  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
  • Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001
  • Major Hospital Hospital, Shelbyville, IN, CCN 150097

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002053AINMDPhysician Assistant
1133601INMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Indiana L.L.C. Physician Assistant CurrentSince Apr 16, 2018 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
Major Hospital Past Accepting new patients
Jackson County Schneck Memorial Hospital Past Accepting new patients

Locations

11380 Illinois St
Carmel, IN 46032
Phone (317) 807-1262

1159 W Jefferson St
Ste 302
Franklin, IN 46131
Phone (317) 736-7651

679 E County Line Rd
Greenwood, IN 46143
Phone (317) 807-1262

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

1215 Hadley Rd
Ste 203
Mooresville, IN 46158
Phone (317) 831-3043

Interoperability endpoints

  • Direct secure messaging: afelt396096@direct.franciscanalliance.org
  • Direct secure messaging: afelt186310@ecommunitydirect.com
  • Direct secure messaging: urologyin@directaddress.net

Organizations & group practices 4

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 7

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": "1465084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1548619190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-807-1266",
            "fax_number": "317-859-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-859-7222",
            "fax_number": "317-859-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELT",
        "first_name": "ALEXANDER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-05",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "1133601",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002053A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001159099",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Urology of Indiana L.L.C.",
            "address_1": "679 E County Line Rd",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461431049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.