Individual provider Active NPI

Alex Mayeux, MD

  • Diagnostic Radiology Physician
  • Belleville, IL
National Provider Identifier
1952833212
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036163984 Issued in IL
Practice address
4500 Memorial Dr
Dept Radiology
Belleville, IL 62226-5360
Phone
(618) 257-5613
Fax
(314) 454-4641
NPI assigned
Mar 28, 2017
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036163984 IL Primary

Addresses

Primary practice location

4500 Memorial Dr
Dept Radiology
Belleville, IL 62226-5360

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (618) 257-5613

Other identifiers 1

IdentifierTypeStateIssuer
200108586MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MS, IL, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220524000698 MO Practitioner - Diagnostic Radiology 2163839234 Reassigns benefits to 3 organizations
I20220627002555 MS Practitioner - Diagnostic Radiology 2163839234 Reassigns benefits to 1 organization
I20230705000978 IL Practitioner - Diagnostic Radiology 2163839234 Reassigns benefits to 2 organizations
I20230717000364 IN Practitioner - Diagnostic Radiology 2163839234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in Shreveport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Radiologists SCGroup PAC ID 3476540873, 32 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (217) 726-8096

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250

1404 Cross St
Shiloh, IL 62269-2988
Phone (217) 726-8096

15 Danfield Rd
Saint Louis, MO 63124-1403
Phone (217) 726-8096

300 Health Way Dr
Potosi, MO 63664-1420
Phone (573) 438-5451

3050 Montvale Dr
Suite a
Springfield, IL 62704-6924
Phone (217) 726-8096

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (217) 726-8096

7405 Oxford Dr
Clayton, MO 63105-2915
Phone (217) 726-8096

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036163984ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Radiologists, S.C. Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Miracl, LLC CurrentSince Jul 1, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Apr 17, 2022 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Oct 22, 2025 Accepting new patients
Washington University Physicians in Illinois, Inc Current Accepting new patients
Protestant Memorial Medical Center,Inc Current Accepting new patients
Washington University Physicians in Illinois, Inc. CurrentSince Oct 22, 2025 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Apr 17, 2022 Accepting new patients
Washington University Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Schuyler County Hospital District Past Accepting new patients
Lawrence County Memorial Hospital Past Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321

3050 Montvale Dr
Ste A
Springfield, IL 62704
Phone (217) 222-9302

4133 Old Jacksonville Rd
Springfield, IL 62711

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

100 Medical Dr
Hannibal, MO 63401

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

510 S Kingshighway Blvd
#8131
Saint Louis, MO 63110
Phone (314) 362-2978

660 S Euclid Ave
#8131
Saint Louis, MO 63110
Phone (314) 362-2809

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

7600 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 747-1000

Organizations & group practices 11

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 6

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1952833212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "618-257-5613",
            "fax_number": "314-454-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DR",
            "address_2": "DEPT RADIOLOGY",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265360",
            "telephone_number": "618-257-5613",
            "fax_number": "314-454-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYEUX",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2025-10-21",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036163984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200108586",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4500 Memorial Dr",
            "address_2": "Dept Radiology",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.