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ALEX OUDOMSACK SOPHABMIXAY DO
NPI 1013850833
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 14, 2026PECOS Enrolled
800 SPRUCE ST, PHILADELPHIA, PA 19107(570) 561-4024 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alex Oudomsack Sophabmixay Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEX OUDOMSACK SOPHABMIXAY DO (NPI 1013850833) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013850833
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEX OUDOMSACK SOPHABMIXAYCredential: DO
Location Address800 SPRUCE STPhiladelphia, PA 19107-6192
Mailing Address800 Spruce StPhiladelphia, PA 19107-6192 · (570) 561-4024
Phone(570) 561-4024
Sole ProprietorYes
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
✔ NPI 1013850833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 SPRUCE ST, Philadelphia, PA 19107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alex Oudomsack Sophabmixay Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA SNYDER MD
Obstetrics & Gynecology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (856) 803-3694
MR. ANTHONY JOHN CORDISCO
Student in an Organized Health Care Education/Training Program
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 316-5151
PEDRO GONZALEZ-ALEGRE MD
Psychiatry & Neurology (Neurology)
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6500
CATRINA JONES CRNA
Nurse Anesthetist, Certified Registered
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5664
KATHLEEN M VELOSO MD
Anesthesiology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5664
MICHELLE RAE HALVORSEN CRNP
Nurse Practitioner (Neonatal)
800 SPRUCE ST, 2 CATHCART
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3301
MOHAMMAD M SARHAN MD
Hospitalist
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5410
NEEPA SHAH MD
Internal Medicine
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alex Sophabmixay's NPI number?

The NPI number for Alex Sophabmixay is 1013850833. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Alex Sophabmixay located?

Alex Sophabmixay practices at 800 Spruce St, Philadelphia, PA 19107. The listed phone number is (570) 561-4024.

What is Alex Sophabmixay's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alex Sophabmixay enrolled in Medicare?

Yes. Alex Sophabmixay is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alex Sophabmixay was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.