JEFF ALEXANDER, MD, PC
NPI 1104852557
Specialist in Tulsa, OK
About Jeff Alexander, Md, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFF ALEXANDER, MD, PC (NPI 1104852557) is a healthcare organization registered as a specialist in Tulsa, Oklahoma and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through March 22, 2028 and lists Jeff Alexander, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeff Alexander, Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeff Alexander, MD, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 37D0474519
Jeff Alexander, MD PC · Tulsa, OKFrequently 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 Jeff Alexander, MD, PC's NPI number?
The NPI number for Jeff Alexander, MD, PC is 1104852557. It was assigned to this organization in the NPPES registry on June 25, 2006.
Where is Jeff Alexander, MD, PC located?
Jeff Alexander, MD, PC is located at 6565 S Yale Ave Ste 503, Tulsa, OK 74136. The listed phone number is (918) 494-8333.
What is Jeff Alexander, MD, PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Jeff Alexander, MD, PC enrolled in Medicare?
Yes. Jeff Alexander, MD, PC is registered in the Medicare PECOS enrollment system.
When is Jeff Alexander, MD, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jeff Alexander, MD, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Jeff Alexander, MD, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jeff Alexander, MD, PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D0474519) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jeff Alexander, MD, PC was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Jeff Alexander, Md, Pc · NPI 1104852557
Specialist organization in Tulsa, Oklahoma. Organization record, active in the CMS NPPES registry since June 25, 2006.
## Identity
- **NPI:** 1104852557 (Entity type: Organization)
- **Enumerated:** June 25, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Jeff Alexander, PHYSICIAN
## Practice location
- **Address:** 6565 S YALE AVE, STE 503, Tulsa, OK 74136-8378
- **Phone:** (918) 494-8333 · **Fax:** (918) 494-8334
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104852557) · Data from the CMS NPPES public registry.