Individual provider Active NPI

Jeffrey Steven Alexander, MD

  • Internal Medicine Physician
  • Towson, MD
National Provider Identifier
1659479178
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044560 Issued in MD
Practice address
120 Sister Pierre Dr
Suite 101
Towson, MD 21204
Phone
(443) 901-0301
Fax
(443) 901-0305
NPI assigned
Sep 20, 2006
Last updated
Nov 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 044560 MD Primary

Addresses

Primary practice location

120 Sister Pierre Dr
Suite 101
Towson, MD 21204

Mailing address

2702 Pemberton Ridge
Baldwin, MD 21013
Phone (410) 557-8873

Other identifiers 1

IdentifierTypeStateIssuer
160751100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 30, 2014 through Dec 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
044560MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey S Alexander MD PA Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1659479178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 PEMBERTON RIDGE",
            "city": "BALDWIN",
            "state": "MD",
            "postal_code": "21013",
            "telephone_number": "410-557-8873",
            "fax_number": "410-557-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR",
            "address_2": "SUITE 101",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "443-901-0301",
            "fax_number": "443-901-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JEFFREY",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "044560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160751100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.