DR. ALEXANDRA HERNDON (MD) – Emergency Medicine Physician, NPI 1164953857

DR. ALEXANDRA HERNDON (MD) is a healthcare provider. based in Orange, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 125.069954 (IL). The NPI Number for DR. ALEXANDRA HERNDON (MD) is 1164953857

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDRA HERNDON (MD)
NPI
1164953857
Phone
(714) 880-7812
Address
101 The City Dr S
Enumeration Date
23 March 2017
Last Update Date
5 May 2025

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3604871000
Graduation Year
2017 (9 years ago)
PAC ID
5698046183
Group Practice PAC ID
7012807373
Professional Enrollment ID
I20250617003704
Address ID
WA986862742VA2211XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:9State licenses:3Digital endpointsOther names

5,790 EMERGENCY MEDICINE in CA

Provider Addresses for DR. ALEXANDRA HERNDON (MD)

  • 101 The City Dr S

    Orange, CA 928683201

    Phone: (714) 880-7812

    Type: Location

  • 251 E Huron St

    Chicago, IL 606112908

    Phone: (312) 926-2000

    Type: Location

  • 200, East Ontario Street, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    CHICAGO, IL 606113284

    Phone: (312) 926-6493

    Type: Location

  • Murasaki Lounge, 211, East Ontario Street, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    SUITE 200

    CHICAGO, IL 606112908

    Phone: (312) 926-6493

    Type: Mailing

  • 1616 E MARION ST

    SEATTLE, WA 981224639

    Phone: (206) 549-3284

    Type: Mailing

  • 2211 NE 139TH ST

    VANCOUVER, WA 986862742

    Phone: (360) 487-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210513001555IEmergency MedicineCATBD
I20220120001672IEmergency MedicineTXTBD
I20250617003704IEmergency MedicineWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99283Emergency department visit with low level of medical decision making10197$0
99282Emergency department visit with straightforward medical decision making7875$0
99285Emergency department visit with high level of medical decision making5656$0
99284Emergency department visit with moderate level of medical decision making4444$0
View full utilization report →

Insurance plans in this area (ZIP 92868)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012807373View full group profile
NameSpecialtyState
Emergency MedicineOR
Emergency MedicineOR
-CA
Emergency MedicineUT
Emergency MedicineKY
Emergency MedicineOR
Emergency MedicineNY
Emergency MedicineWA
Emergency MedicineOR
Emergency MedicineOR

Reviews

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Frequently asked questions

What federal number belongs to DR. ALEXANDRA HERNDON (MD)?
The federal identifier for DR. ALEXANDRA HERNDON (MD) is NPI 1164953857.
Is DR. ALEXANDRA HERNDON (MD) active in the national directory?
DR. ALEXANDRA HERNDON (MD)'s public NPI profile is in an active state.
What does DR. ALEXANDRA HERNDON (MD) treat or focus on?
Patients typically see DR. ALEXANDRA HERNDON (MD) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ALEXANDRA HERNDON (MD)'s primary listing?
We display Orange, California because that is what the record indicates for DR. ALEXANDRA HERNDON (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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