DR. ALEXANDER ETHAN FELLER (M.D.) – Anesthesiology Physician, NPI 1871528778

DR. ALEXANDER ETHAN FELLER (M.D.) is a healthcare provider. based in Mokena, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. The NPI Number for DR. ALEXANDER ETHAN FELLER (M.D.) is 1871528778

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDER ETHAN FELLER (M.D.)
NPI
1871528778
Phone
(708) 478-8889
Address
19110 DARVIN DR
Enumeration Date
11 July 2006
Last Update Date
8 November 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
63041077002
Graduation Year
1992 (34 years ago)
PAC ID
5092767327
Group Practice PAC ID
4789096793
Professional Enrollment ID
I20050216000190
Address ID
IL600161566DE9700XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,633 ANESTHESIOLOGY in IL

Provider Addresses for DR. ALEXANDER ETHAN FELLER (M.D.)

  • 19110 DARVIN DR

    MOKENA, IL 604488595

    Phone: (708) 478-8889

    Type: Location

  • PO BOX 476705

    CHICAGO, IL 606476705

    Phone: (773) 307-8659

    Type: Mailing

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: 2005-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050216000190IAnesthesiologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60448)

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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: 4789096793View full group profile
NameSpecialtyState
Anesthesiology, Interventional Pain ManagementIL

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Frequently asked questions

Is DR. ALEXANDER ETHAN FELLER (M.D.) listed with a National Provider Identifier?
Yes — DR. ALEXANDER ETHAN FELLER (M.D.) has NPI 1871528778 on file in the registry.
Is DR. ALEXANDER ETHAN FELLER (M.D.) still an active registrant?
DR. ALEXANDER ETHAN FELLER (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. ALEXANDER ETHAN FELLER (M.D.)?
At a glance, DR. ALEXANDER ETHAN FELLER (M.D.) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. ALEXANDER ETHAN FELLER (M.D.) registered?
Use Mokena, Illinois as the headline location for DR. ALEXANDER ETHAN FELLER (M.D.) here.
Can I trust this NPI listing for DR. ALEXANDER ETHAN FELLER (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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