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ALEXANDER LUNDBERG
NPI 1790564268
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since September 25, 2023PECOS Enrolled
3015 N BALLAS RD STE 425, SAINT LOUIS, MO 63131(314) 996-4087 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Alexander Lundberg NPPES

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

ALEXANDER LUNDBERG (NPI 1790564268) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1790564268
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEXANDER LUNDBERG
Location Address3015 N BALLAS RD STE 425Saint Louis, MO 63131-2329
Mailing Address3015 N Ballas Rd Ste 425Saint Louis, MO 63131-2329
Phone(314) 996-4087
Sole ProprietorNo
Enumeration DateSeptember 25, 2023
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1790564268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
3015 N BALLAS RD STE 425, Saint Louis, MO 63131
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Secondary Practice Location 1

Location 11111 W 17th StTulsa, OK 74107-1886 · Phone (443) 841-8393

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 Lundberg 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.

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.

SARAH SEABA
Student in an Organized Health Care Education/Training Program
3015 N BALLAS RD STE 425
SAINT LOUIS, MO 63131
St. Louis County (314) 996-4087
DR. SALMA RAMADAN MD
Student in an Organized Health Care Education/Training Program
3015 N BALLAS RD STE 425
SAINT LOUIS, MO 63131
St. Louis County (314) 996-4087

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 Lundberg's NPI number?

The NPI number for Alexander Lundberg is 1790564268. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Alexander Lundberg located?

Alexander Lundberg practices at 3015 N Ballas Rd Ste 425, Saint Louis, MO 63131. The listed phone number is (314) 996-4087.

What is Alexander Lundberg'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 Lundberg enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alexander Lundberg was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.