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ALEXANDER BLANK PA-C
NPI 1356961015
Physician Assistant in Chicago, IL

Active since April 23, 2020PECOS Enrolled
111 W WASHINGTON ST STE 1801, CHICAGO, IL 60602(312) 695-8106(312) 694-1340 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2020, Apr 23, 2020 (2 updates tracked since 2020).

About Alexander Blank Pa-c NPPES

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

ALEXANDER BLANK PA-C (NPI 1356961015) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085007989) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356961015
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDER BLANKCredential: PA-C
Location Address111 W WASHINGTON ST STE 1801Chicago, IL 60602-3430
Mailing Address111 W Washington St Ste 1801Chicago, IL 60602-3430 · (312) 695-8106 · Fax (312) 694-1340
Phone(312) 695-8106
Fax(312) 694-1340
Sole ProprietorYes
Enumeration DateApril 23, 2020
Last NPPES UpdateSeptember 25, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2023
✔ NPI 1356961015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085007989
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
111 W WASHINGTON ST STE 1801, Chicago, IL 60602
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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)

Alexander Blank Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. JENNIFER SHASTRY M.D.
Dermatology
111 W WASHINGTON ST STE 1801
CHICAGO, IL 60602
Cook County (312) 695-8106
OYINADE ADERIBIGBE M.D.
Dermatology
111 W WASHINGTON ST STE 1801
CHICAGO, IL 60602
Cook County (312) 926-3627

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 Blank's NPI number?

The NPI number for Alexander Blank is 1356961015. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Alexander Blank located?

Alexander Blank practices at 111 W Washington St Ste 1801, Chicago, IL 60602. The listed phone number is (312) 695-8106.

What is Alexander Blank's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexander Blank enrolled in Medicare?

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

What insurance does Alexander Blank accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Alexander Blank 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 Blank was last updated on September 25, 2023. 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.