Alexandra Anderson, DO
Individual provider Active NPI Pediatrics Physician · Indianapolis, IN
NPI 1629655634 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1629655634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 02007778A (IN)
- Practice address
- 705 Riley Hospital Dr
Indianapolis, IN 46202-5109 - Phone
- (317) 948-2700
- Fax
- (317) 948-2959
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02007778A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pediatric Associates, Inc. | Pediatrics | Current |
Accepting new patients |
Locations
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 02007778A | IN | Yes |
Addresses
Primary practice location
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Mailing address
PO Box 778912
Chicago, IL 60677-8912
Phone (317) 777-6435
Other practice location 1
571 S Floyd St Ste 412
Louisville, KY 40202-3877
Phone (502) 629-8828
Other providers in Indianapolis, IN
- Trinity Grace Anders
- Elizabeth Andersen
- Anderson Clinic, P.C.
- Melissa L Anderson-Traylor
- Aimee Leigh Anderson
- Alison Anderson
- Alivia Anderson
- Amy N Anderson
- Andrea Anderson
- Brandon Anderson
All providers in Indianapolis, IN · Pediatrics Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.