Individual provider Active NPI

Alexander Lewis Coon, MD

  • Neurological Surgery Physician
  • Baltimore, MD
National Provider Identifier
1720124084
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D70409 Issued in MD
Practice address
1800 Orleans St
Zayed 6115E
Baltimore, MD 21287-0005
Phone
(410) 955-2438
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 57787 AZ
Neurological Surgery Physician 207T00000X D70409 MD Primary

Addresses

Primary practice location

1800 Orleans St
Zayed 6115E
Baltimore, MD 21287-0005

Mailing address

PO Box 64286
Baltimore, MD 21264-4286
Phone (410) 955-6405

Other practice location 1

6565 E Carondelet Dr Ste 305
Tucson, AZ 85710-2159
Phone (520) 881-8400

Other identifiers 1

IdentifierTypeStateIssuer
032639900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20190612003240 AZ Practitioner - Neurosurgery 0244361251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Columbia University College of Physicians and Surgeons, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 561-1000

6567 E Carondelet Dr
Suite 305
Tucson, AZ 85710-6160
Phone (520) 881-8400

Hospital & facility affiliations

  • St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011
  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57787AZMDNeurological Surgery Physician
D70409MDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Sep 1, 2024 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Tucson Physician Group Holdings, LLC CurrentSince Apr 20, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

18699 N 67th Ave
Ste 120
Glendale, AZ 85308
Phone (602) 298-8888

1355 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 848-5700

1325 N Litchfield Rd
Ste 125
Goodyear, AZ 85395
Phone (480) 420-0749

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

6567 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 296-2454

6565 E Carondelet Dr
Ste 305
Tucson, AZ 85710
Phone (520) 881-8400

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

6567 E Carondelet Dr
Ste 305
Tucson, AZ 85710
Phone (520) 881-8400

Interoperability endpoints

  • Direct secure messaging: alexander.coon.1@600.direct.athenahealth.com
  • Direct secure messaging: alexander.coon.2@600.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

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 5

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1720124084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64286",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644286",
            "telephone_number": "410-955-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST",
            "address_2": "ZAYED 6115E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-2438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 E Carondelet Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857102159",
            "country_code": "US",
            "telephone_number": "520-881-8400",
            "fax_number": "520-881-6563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COON",
        "first_name": "ALEXANDER",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "57787",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D70409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032639900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.