MRS. PRIYA SUSAN ALEX (MD) – Family Medicine Physician, NPI 1174185896

MRS. PRIYA SUSAN ALEX (MD) is a healthcare provider. based in Loogootee, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01088346A (IN). The NPI Number for MRS. PRIYA SUSAN ALEX (MD) is 1174185896

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. PRIYA SUSAN ALEX (MD)
NPI
1174185896
Phone
(812) 295-2812
Address
105 COOPER ST
Enumeration Date
2 July 2019
Last Update Date
19 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122952812
Graduation Year
2019 (7 years ago)
PAC ID
8820323694
Group Practice PAC ID
4587578042
Professional Enrollment ID
I20220823003600
Address ID
IN475532223LO105XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,862 FAMILY PRACTICE in IN

Provider Addresses for MRS. PRIYA SUSAN ALEX (MD)

  • 105 COOPER ST

    LOOGOOTEE, IN 475532223

    Phone: (812) 295-2812

    Fax: (812) 996-5426

    Type: Mailing

  • 966, Bartley Street, Jasper, Dubois County, Indiana, 47546, United States

    JASPER, IN 475462641

    Phone: (812) 996-5425

    Fax: (812) 996-5426

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $833.

Total Amount is formed as General ($833) + Research ($0) + Ownership ($0) = $833.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($206).

Total Amount

$833

General + Research + Ownership

Payments

62

Total payment records

General Amount

$833

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-08-23

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
I20220823003600IFamily PracticeINTBD

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
81003Automated urinalysis test4031$0
87804Detection test by immunoassay with direct visual observation for influenza virus3015$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2929$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1817$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1211$0
View full utilization report →

Insurance plans in this area (ZIP 47553)

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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: 4587578042View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
Family PracticeMI
Medical Oncology, Hematology/OncologyMO
H E M A T O L O G Y/ O N C O L O G YIN
-IN
A N E S T H E S I O L O G YIN
-IN
Nurse PractitionerIN
Nurse PractitionerIN
Physician AssistantOH

Reviews

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Frequently asked questions

Can I cross-check MRS. PRIYA SUSAN ALEX (MD) using NPI 1174185896?
NPI 1174185896 belongs to MRS. PRIYA SUSAN ALEX (MD); compare other details if you need extra assurance.
Is there an active status for MRS. PRIYA SUSAN ALEX (MD)?
For scheduling context, MRS. PRIYA SUSAN ALEX (MD) is shown as active in the registry.
What expertise is attributed to MRS. PRIYA SUSAN ALEX (MD)?
MRS. PRIYA SUSAN ALEX (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MRS. PRIYA SUSAN ALEX (MD) associated with Loogootee?
Public fields place MRS. PRIYA SUSAN ALEX (MD) around Loogootee, Indiana. Always confirm the exact site before visiting.
Can I trust this NPI listing for MRS. PRIYA SUSAN ALEX (MD)?
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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