Active NPI
Alexis Rachel Peedin, MD
- Anatomic Pathology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MD460909
- Practice address
- 132 S. 10TH Street
Main Building, 2ND Floor, 285K
Philadelphia, PA 19107-5244 - Phone
- (215) 503-5642
- Fax
- (215) 503-4817
- NPI assigned
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 182439 | NC | |
| Anatomic Pathology Physician | 207ZP0101X | MD460909 | PA | Primary |
Addresses
Primary practice location
132 S. 10TH Street
Main Building, 2ND Floor, 285K
Philadelphia, PA 19107-5244
Mailing address
132 S. 10TH Street
Main Building, 2ND Floor, 285K
Philadelphia, PA 19107-5244
Phone (215) 503-5642
Other names 1
- Alexis Rachel Kuhn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Rush Medical College of Rush University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD460909 | PA | MD | Anatomic Pathology Physician |
| 182439 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childen'S Health Care Associates Inc. | Current | Accepting new patients | |
| Childrens Health Care Associates | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| Childrens Health Care Associates of New Jersey PC | Past | Accepting new patients |
Locations
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
3401 Civic Center Blvd
#M975
Philadelphia, PA 19104
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.
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- NPI 1598869059
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- Pediatric Registered Nurse
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- NPI 1699860643
-
- Pediatric Hospice and Palliative Medicine Physician
- Philadelphia, PA
- NPI 1528153574
-
- Pediatrics Physician
- Voorhees, NJ
- NPI 1427152917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1669733713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 S. 10TH STREET",
"address_2": "MAIN BUILDING, 2ND FLOOR, 285K",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075244",
"telephone_number": "215-503-5642",
"fax_number": "215-503-4817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 S. 10TH STREET",
"address_2": "MAIN BUILDING, 2ND FLOOR, 285K",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075244",
"telephone_number": "215-503-5642",
"fax_number": "215-503-4817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEDIN",
"first_name": "ALEXIS",
"middle_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "182439",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "PA",
"license": "MD460909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "KUHN",
"middle_name": "RACHEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.