ALEXANDER FODOR
NPI 1407014160
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since May 29, 2008PECOS EnrolledAccepts Medicare Assignment
4860 Y ST, #3100, SACRAMENTO, CA 95817(916) 734-5195(916) 734-6548 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alexander Fodor NPPES

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

ALEXANDER FODOR (NPI 1407014160) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2007).

NPPES Registry Identity

NPI1407014160
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEXANDER FODOR
Location Address4860 Y ST, #3100Sacramento, CA 95817-2307
Mailing Address4860 Y St, #3100Sacramento, CA 95817-2307 · (916) 734-5195 · Fax (916) 734-6548
Fax(916) 734-6548
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2007
Enumeration DateMay 29, 2008
Last NPPES UpdateDecember 15, 2021
✔ NPI 1407014160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4860 Y ST, Sacramento, CA 95817

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 Fodor 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 ID6204099294
PECOS Enrollment IDI20120601000230
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 Alexander Fodor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
18 services15 patients

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.

Student in an Organized Health Care Education/Training Program
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Internal Medicine
4860 Y ST, SUITE 0101
SACRAMENTO, CA 95817
Internal Medicine
4860 Y ST, SUITE 0100
SACRAMENTO, CA 95817
Physical Medicine & Rehabilitation
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Obstetrics & Gynecology
4860 Y ST
SACRAMENTO, CA 95817
General Acute Care Hospital
4860 Y ST
SACRAMENTO, CA 95817
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4860 Y ST
SACRAMENTO, CA 95817
Internal Medicine (Cardiovascular Disease)
4860 Y ST, SUITE 2820
SACRAMENTO, CA 95817

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 Fodor's NPI number?

The NPI number for Alexander Fodor is 1407014160. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Alexander Fodor located?

Alexander Fodor practices at 4860 Y St #3100, Sacramento, CA 95817. The listed phone number is (916) 734-5195.

What is Alexander Fodor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alexander Fodor enrolled in Medicare?

Yes. Alexander Fodor 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 organization bills Medicare for Alexander Fodor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Fodor reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Alexander Fodor'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 Alexander Fodor was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.