Look up the most recent NPI and PECOS records

Anup Jacob Alexander

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as ANUP ALEXANDER.

Based on the most recent information from CMS, provider Anup Jacob Alexander is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1912265430
Provider Type
Individual
Full Name
Alexander, Anup Jacob
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/3/2012
Last Updated
3/29/2021

Contact Information

Practice Location

2160 S 1st Ave, Maywood, IL 60153

(708) 216-5204

(708) 216-0899

Mailing Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 036.137489 Illinois

Anup Jacob Alexander

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Patel, Dil

Sheikh, Muhammad M

Zaleski, George X

Ree, Alexander

Lomasney, Laurie

Schoenrade, Nathan

Gabriel, Mehdat

Kral, Madonna

Ward, Kathleen A

Talla, Shravika