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DR. ALEXANDER WOODSON PONG M.D.
NPI 1154852788
Surgery - Plastic and Reconstructive Surgery in Louisville, KY

Active since March 24, 2017PECOS Enrolled
2341 LIME KILN LN, LOUISVILLE, KY 40222(502) 899-9979 Get Directions Write a Review

NPPES record last updated: December 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 27, 2025, May 9, 2024, Sep 10, 2023 and 2 more (5 updates tracked since 2017).

About Dr. Alexander Woodson Pong M.d. NPPES

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

DR. ALEXANDER WOODSON PONG M.D. (NPI 1154852788) is an individual plastic and reconstructive surgery provider in Louisville, Kentucky, licensed in Kentucky (58133) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154852788
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. ALEXANDER WOODSON PONGCredential: M.D.
Location Address2341 LIME KILN LNLouisville, KY 40222-3460
Mailing Address2341 Lime Kiln LnLouisville, KY 40222-3460 · (502) 899-9979
Phone(502) 899-9979
Sole ProprietorNo
Enumeration DateMarch 24, 2017
Last NPPES UpdateDecember 27, 20255 updates tracked since enumeration
NPPES CertifiedDecember 27, 2025
✔ NPI 1154852788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in KY · 58133✔ Licensed in MA · 282168
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License V0118 (TX)
2341 LIME KILN LN, Louisville, KY 40222
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexander Woodson Pong M.d. 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 6

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

KERI LYNN TOMES WHNP
Nurse Practitioner (Women's Health)
2341 LIME KILN LN
LOUISVILLE, KY 40222
Jefferson County (502) 899-9979
DR. MICHAEL BRADLEY CALOBRACE M.D.
Plastic Surgery
2341 LIME KILN LN
LOUISVILLE, KY 40222
Jefferson County (502) 899-9979
LISA L WHITLOW CFA
2341 LIME KILN LN
LOUISVILLE, KY 40222
Jefferson County (502) 899-9979
DR. CHESTER MAYS M.D.
Plastic Surgery
2341 LIME KILN LN
LOUISVILLE, KY 40222
Jefferson County (502) 814-3000
DR. JUAN LUIS QUINTERO M.D.
Plastic Surgery
2341 LIME KILN LN
LOUISVILLE, KY 40222
Jefferson County (502) 899-9979
DR. MADISON NICOLE CALLERY DNP, APRN, FNP-BC
Nurse Practitioner (Family)
2341 LIME KILN LN
LOUISVILLE, KY 40222
Jefferson County (502) 899-9979

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 Pong's NPI number?

The NPI number for Alexander Pong is 1154852788. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Alexander Pong located?

Alexander Pong practices at 2341 Lime Kiln Ln, Louisville, KY 40222. The listed phone number is (502) 899-9979.

What is Alexander Pong's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Alexander Pong enrolled in Medicare?

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

What insurance does Alexander Pong accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Alexander Pong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexander Pong was last updated on December 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.