Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ALEXANDRA CHANNING M.D.
NPI 1679896864
Pediatrics - Pediatric Cardiology in New York, NY

Active since March 02, 2010PECOS Enrolled
100/100
CMS Quality Rating
3959 BROADWAY, NEW YORK, NY 10032(212) 305-5809 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2026, Oct 17, 2022, May 8, 2018 and 1 more (4 updates tracked since 2017).

About Alexandra Channing M.d. NPPES

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

ALEXANDRA CHANNING M.D. (NPI 1679896864) is an individual pediatric cardiology provider in New York, New York, licensed in Connecticut (57388) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2009).

NPPES Registry Identity

NPI1679896864
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameALEXANDRA CHANNINGCredential: M.D.
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address2108 N St Ste NSacramento, CA 95816-5712 · (760) 915-2648
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2009
Enumeration DateMarch 2, 2010
Last NPPES UpdateJuly 14, 20264 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1679896864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses Licensed in CT · 57388 Licensed in NY · 283579
Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

3959 BROADWAY, New York, NY 10032

Secondary Practice Location 1

Location 1282 Washington StHartford, CT 06106-3322 · Phone (860) 545-9000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alexandra Channing M.d. 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 ID345556163
PECOS Enrollment IDI20161118001219
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 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032

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 Alexandra Channing's NPI number?

The NPI number for Alexandra Channing is 1679896864. It was assigned to this individual provider in the NPPES registry on March 2, 2010.

Where is Alexandra Channing located?

Alexandra Channing practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-5809.

What is Alexandra Channing's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Alexandra Channing enrolled in Medicare?

Yes. Alexandra Channing 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.

When was this NPI record last updated?

The NPPES record for Alexandra Channing was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.