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ALEX IM MD
NPI 1285375980
General Practice in Santa Clara, CA

Active since April 05, 2022PECOS Enrolled
710 LAWRENCE EXPY DEPT 384, SANTA CLARA, CA 95051(408) 851-3795 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2023, Apr 5, 2022 (2 updates tracked since 2022).

About Alex Im Md NPPES

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

ALEX IM MD (NPI 1285375980) is an individual general practice provider in Santa Clara, California, licensed in California (188744) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285375980
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameALEX IMCredential: MD
Location Address710 LAWRENCE EXPY DEPT 384Santa Clara, CA 95051-5173
Mailing Address710 Lawrence Expy Dept 384Santa Clara, CA 95051-5173 · (408) 851-3795
Phone(408) 851-3795
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1285375980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · 188744
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
710 LAWRENCE EXPY DEPT 384, Santa Clara, CA 95051
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alex Im Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Alex Im reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates Of California, PC
39 mi
General Practice
505 MONTGOMERY ST, FL 10 & 11
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 407 clinicians in this Medicare group
NPI 1124685169 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

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

ANNA UNG
Student in an Organized Health Care Education/Training Program
710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3046
VINAYAKA MALAKKLA MD
Internal Medicine
710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3830
DR. PETER K LEE D.O.
Internal Medicine
710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
Santa Clara County (408) 851-7215
JESSICA PUI WAH CHAU MD
Student in an Organized Health Care Education/Training Program
710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000
PHOEBE NGUYEN
Student in an Organized Health Care Education/Training Program
710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3817
NAVREEN PANDHER DO
Student in an Organized Health Care Education/Training Program
710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
Santa Clara County (408) 709-6624
HANK CRAIG DAVIS MD
Student in an Organized Health Care Education/Training Program
710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3817
JEONG SOO PARK MD
Internal Medicine
710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3817

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 Alex Im's NPI number?

The NPI number for Alex Im is 1285375980. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Alex Im located?

Alex Im practices at 710 Lawrence Expy Dept 384, Santa Clara, CA 95051. The listed phone number is (408) 851-3795.

What is Alex Im's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Alex Im enrolled in Medicare?

Yes. Alex Im is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alex Im's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Im reassigns Medicare benefits to Signify Health Medical Associates Of California, PC (San Francisco, CA). The 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 Alex Im's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alex Im was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.