CMS-1500 Box 24J / 33a • NPI
1124626718
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
3535 SOUTHERN BLVD, KETTERING, OH, 45429-1221
✓ 9-Digit EDI 837 ZIP+4 (45429-1221)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1124626718 (MADELINE ALEXANDER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1124626718)
Medicare Beneficiaries
54
Total Billed Services
65
Distinct CPT/HCPCS Codes
12
Medicare Allowed Total
$6,386.33
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 13 | 13 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 11 | 11 |
| Cephalexin Cephalexin | 15 | 15 |
| Citalopram Hbr Citalopram Hydrobromide | 11 | <11 |
| Diclofenac Sodium Diclofenac Sodium | 16 | 16 |
| Esomeprazole Magnesium Esomeprazole Magnesium | 11 | <11 |
| Gabapentin Gabapentin | 11 | <11 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 11 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1124626718 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MADELINE ALEXANDER |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3535 SOUTHERN BLVD, KETTERING, OH, 45429-1221 |
| Practice Telephone / Fax | Tel: (937) 395-8166 |
| Administrative Mailing Address | 3131 NEWMARK DR STE 220, MIAMISBURG, OH, 45342-5400 |
| Enumeration & Last Sync | Enumerated: 2020-10-15 | CMS Record Updated: 2022-04-19 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in KETTERING
🔒 Are you MADELINE ALEXANDER? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MADELINE ALEXANDER)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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