Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXANDER SHAMUS CODY
NPI 1093417552
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since March 20, 2023PECOS Enrolled
275 W MACARTHUR BLVD, OAKLAND, CA 94611(801) 884-7017 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 25, 2026, Mar 20, 2023 (2 updates tracked since 2023).

About Alexander Shamus Cody NPPES

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

ALEXANDER SHAMUS CODY (NPI 1093417552) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093417552
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEXANDER SHAMUS CODY
Location Address275 W MACARTHUR BLVDOakland, CA 94611-5641
Mailing Address275 W Macarthur BlvdOakland, CA 94611-5641
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
NPI 1093417552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License A204285 (CA)
275 W MACARTHUR BLVD, Oakland, CA 94611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alexander Shamus Cody 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.

Specialist
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Radiology (Radiation Oncology)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Radiology (Diagnostic Radiology)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Physical Therapist (Orthopedic)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Obstetrics & Gynecology
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Hospitalist
275 W MACARTHUR BLVD
OAKLAND, CA 94611

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 Alexander Cody's NPI number?

The NPI number for Alexander Cody is 1093417552. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Alexander Cody located?

Alexander Cody practices at 275 W Macarthur Blvd, Oakland, CA 94611. The listed phone number is (801) 884-7017.

What is Alexander Cody's specialty?

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

Is Alexander Cody enrolled in Medicare?

Yes. Alexander Cody is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Cody was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.