NPIMap

Individual provider Active NPI

Alexandar S Jerev, MD

  • Internal Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1780629071
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD071769L Issued in PA
Practice address
1540 Alexandra LN
Harrisburg, PA 17110-3656
Phone
(717) 798-3363
NPI assigned
Jun 19, 2006
Last updated
May 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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 MD071769L PA Primary

Addresses

Primary practice location

1540 Alexandra LN
Harrisburg, PA 17110-3656

Mailing address

1 Trinity Dr E Ste 120
Dillsburg, PA 17019-8522
Phone (717) 432-5430

Other identifiers 1

IdentifierTypeStateIssuer
001850083MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000029 PA Practitioner - Internal Medicine 9537129754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1540 Alexandra LN
Harrisburg, PA 17110-3656
Phone (717) 798-3363

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD071769LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Nov 1, 2025 Accepting new patients
Lancaster Hma Physician Management, LLC Internal Medicine Past Accepting new patients
Penn State Health Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

361 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 249-1211

126 W Church St
Ste 200
Dillsburg, PA 17019
Phone (717) 432-2411

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

335 Lambs Gap Rd
Mechanicsburg, PA 17050
Phone (717) 591-1425

Interoperability endpoints

  • Direct secure messaging: ajerev538036@upmc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1780629071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRINITY DR E STE 120",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170198522",
            "telephone_number": "717-432-5430",
            "fax_number": "717-432-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 ALEXANDRA LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103656",
            "telephone_number": "717-798-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEREV",
        "first_name": "ALEXANDAR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD071769L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001850083",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.