ALEXANDER ALBERT BOUCHER MD
NPI 1194083675
Pediatrics - Pediatric Hematology-Oncology in Minneapolis, MN
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
8Medicare enrollment records show Alexander Boucher reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 671 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- 1,247 clinicians in this Medicare group
Hibbing, MN 55746
- Reassigned Medicare billing, Minnesota enrollment
- 707 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MNMedicare 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.
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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.
Which organizations bill Medicare for Alexander Boucher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Boucher reassigns Medicare benefits to 8 organizations: Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Bethesda Hospital (Minneapolis, MN) and 3 more organizations, listed in the Medicare section above. Each 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 Alexander Boucher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexander Boucher accept?
Health plans from 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.
# Alexander Albert Boucher, MD · NPI 1194083675
Pediatric Hematology-Oncology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since May 2, 2012.
## Identity
- **NPI:** 1194083675 (Entity type: Individual)
- **Enumerated:** May 2, 2012
- **Primary specialty:** Pediatrics - Pediatric Hematology-Oncology · taxonomy 2080P0207X
- **State license:** 57181 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 909 FULTON ST SE, Minneapolis, MN 55455-4800
- **Phone:** (612) 672-7422
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1629224258, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); University Of Minnesota Physicians (NPI 1477598118, Minneapolis, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN); Fairview Bethesda Hospital (NPI 1275412561, Minneapolis, MN); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 8, 2024
- **Other identifiers:** Medicaid 1194083675 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1194083675) · Data from the CMS NPPES public registry.