ALEXANDER ALBERT BOUCHER MD
NPI 1194083675
Pediatrics - Pediatric Hematology-Oncology in Minneapolis, MN

Active since May 02, 2012PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
909 FULTON ST SE, MINNEAPOLIS, MN 55455(612) 672-7422 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2024, Jul 21, 2022, Jul 11, 2019 and 1 more (4 updates tracked since 2017).

About Alexander Albert Boucher Md NPPES

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

ALEXANDER ALBERT BOUCHER MD (NPI 1194083675) is an individual pediatric hematology-oncology provider in Minneapolis, Minnesota, licensed in Minnesota (57181) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1194083675
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameALEXANDER ALBERT BOUCHERCredential: MD
Location Address909 FULTON ST SEMinneapolis, MN 55455-4800
Mailing Address909 Fulton St SeMinneapolis, MN 55455-4800
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 2, 2012
Last NPPES UpdateMarch 8, 20244 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
NPI 1194083675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in MN · 57181
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
909 FULTON ST SE, Minneapolis, MN 55455

Secondary Practice Location 1

Location 1715 S 8th StMinneapolis, MN 55404-1210 · Phone (612) 873-6963

Other Identifiers 1

Medicaid1194083675MN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alexander Albert Boucher Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133344195
PECOS Enrollment IDI20140707001277
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Internal Medicine (Pulmonary Disease)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Internal Medicine (Gastroenterology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Neurological Surgery
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
909 FULTON ST SE, 3RD FLOOR, CLINIC AND SURGERY CENTER
MINNEAPOLIS, MN 55455
Internal Medicine (Hematology & Oncology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Anesthesiology
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Psychologist (Clinical)
909 FULTON ST SE, BUILDING 2
MINNEAPOLIS, MN 55455
Psychiatry & Neurology (Neurology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455

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 Boucher's NPI number?

The NPI number for Alexander Boucher is 1194083675. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Where is Alexander Boucher located?

Alexander Boucher practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 672-7422.

What is Alexander Boucher's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Alexander Boucher enrolled in Medicare?

Yes. Alexander Boucher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alexander Boucher accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Alexander Boucher 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.

Is Alexander Boucher affiliated with any hospitals?

According to CMS data, Alexander Boucher is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Alexander Boucher was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.