Alexander Max Fagenson, M.D.
Individual provider Active NPI Transplant Surgery Physician · Lexington, Ky, KY
NPI 1750744843 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1750744843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Transplant Surgery Physician 204F00000X
- License
- 61918 (KY)
- Practice address
- 740 S Limestone
Ste J301
Lexington, Ky, KY 40536-0284 - Phone
- (859) 323-1691
- NPI assigned
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Kentucky Medical Services Foundation, Inc
Practice addresses (Care Compare)
1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
740 S Limestone St
Lexington, KY 40508-1683
Phone (859) 257-8562
989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171
Hospital & facility affiliations
- Wellstar MCG Health, Affiliated With Med Col
- University of Kentucky Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NY, GA, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231108003253 | NY | Practitioner - General Surgery | 3971897760 | Reassigns benefits to 1 organization |
| I20250822003576 | GA | Practitioner - General Surgery | 3971897760 | Reassigns benefits to 1 organization |
| I20260520001514 | KY | Practitioner - General Surgery | 3971897760 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61918 | KY | MD | Transplant Surgery Physician |
| 211111 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Transplant Surgery | Current |
Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
5 E 98th St
Fl 12
New York, NY 10029
Phone (212) 241-8303
150 E 42nd St
Fl 2
New York, NY 10017
Phone (646) 605-8119
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 61918 | KY | Yes |
Addresses
Primary practice location
740 S Limestone
Ste J301
Lexington, Ky, KY 40536-0284
Mailing address
740 S Limestone
Lexington, KY 40536-0001
Phone (859) 323-4661
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.