Alexander Ethan Feller, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Practice address

19110 Darvin Dr
Mokena, IL 60448-8595

Phone

(708) 478-8889

NPI assigned

Jul 11, 2006

Last updated

Nov 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Anesthesiology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Road Anesthesia Specialists LLCGroup PAC ID 4789096793, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• River Road Anesthesia Specialists, LLC

  • Anesthesiology Physician
  • Des Plaines, IL
  • NPI 1215545272
  Medicare reassignment Care Compare group NPD
• Elite Anesthesia Providers, LTD

  • Anesthesiology Physician
  • Mokena, IL
  • NPI 1679258388
  Medicare reassignment NPD
• MD2X S.C.

  • Anesthesiology Physician
  • Mokena, IL
  • NPI 1669403325
  Authorized official Same address or phone
• Southeast Anesthesia Consultants LTD

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1669417440
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1871528778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476705",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476705",
            "telephone_number": "773-307-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19110 DARVIN DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488595",
            "telephone_number": "708-478-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLER",
        "first_name": "ALEXANDER",
        "middle_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09932287",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00184861",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fagen Pharmacy 15 (Demotte Drugs Inc)
• Family Medicine Physicians Organization
• Anita Lyn Farley, FNP
• Shonda Lynn Farris, RN, MSN, FNP-BC
• Sophia Feliciano
• Karen Fernandez, FNP
• Miguel E Ferrer
• Kenneth Finkelstein, D.O.
• Cheryl Fitzgerald, RDN, LDN
• Nicole Fitzgerald, FNP-BC

• Anesthesiology Physician in Mokena, IL
• Providers in Mokena, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.

Verify at the official NPI Registry.