Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ALEXANDER W REARDON MD
NPI 1407505175
Psychiatry & Neurology - Addiction Medicine in Dekalb, IL

Q: What is Alexander Reardon's NPI number?

The NPI number for Alexander Reardon is 1407505175. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Q: What is Alexander Reardon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Q: When was this NPI record last updated?

The NPPES record for Alexander Reardon was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.

Active since March 21, 2022PECOS Enrolled

1 KISH HOSPITAL DR, DEKALB, IL 60115(815) 766-7334(815) 766-9768 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2026, May 25, 2022 (2 updates tracked since 2022).

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About Dr. Alexander W Reardon Md NPPES

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

DR. ALEXANDER W REARDON MD (NPI 1407505175) is an individual addiction medicine provider in Dekalb, Illinois, licensed in Illinois (036175181) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1407505175

Entity TypeIndividualMale

Primary Taxonomy2084A0401X

Provider Legal NameDR. ALEXANDER W REARDONCredential: MD

Location Address1 KISH HOSPITAL DRDekalb, IL 60115-9602

Mailing Address1 Kish Hospital DrDekalb, IL 60115-9602 · (815) 766-7334 · Fax (815) 766-9768

Phone(815) 766-7334

Fax(815) 766-9768

Sole ProprietorNo

Enumeration DateMarch 21, 2022

Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1407505175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

License✔ Licensed in IL · 036175181

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036175181 (IL)

1 KISH HOSPITAL DR, Dekalb, IL 60115

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Secondary Practice Location 1

Location 1251 E Huron StChicago, IL 60611-3055 · Phone (312) 926-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexander W Reardon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60115 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

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 20

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

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