DR. ALEXANDER E FONDAW (MD) – Surgery Physician, NPI 1356904361
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
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Provider Addresses for DR. ALEXANDER E FONDAW (MD)
Thompson Street, Emporia, Lyon County, Kansas, United States
KANSAS CITY, KS 661033170
Phone:
Type: Mailing
Presence Saint Joseph Hospital, 2900, North Lake Shore Drive, Lake View, Chicago, Lake View Township, Cook County, Illinois, 60657, United States
CHICAGO, IL 606575640
Phone: (773) 665-6730
Type: Location
2900 N Lake Shore Dr
Chicago, IL 606575640
Phone: (773) 665-6730
Type: Location
1980 SE Blue Pkwy Ste 2120
Lees Summit, MO 640631079
Phone: (913) 345-6960
Type: Location
2100 WYANDOTTE ST UNIT 1011
KANSAS CITY, MO 641082580
Phone: (316) 737-9050
Type: Mailing
5100 W 110TH ST STE 110
OVERLAND PARK, KS 662111215
Phone: (913) 345-6960
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $5,128.
Total Amount is formed as General ($5,128) + Research ($0) + Ownership ($0) = $5,128.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($4,244).
Total Amount
$5,128
General + Research + Ownership
Payments
29
Total payment records
General Amount
$5,128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $4,244 |
| Baxter Healthcare | $250 |
| Acera Surgical, Inc. | $188 |
| Bard Peripheral Vascular, Inc. | $148 |
| Solventum Corporation | $87 |
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: 2025-11-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251125001476 | I | General Surgery | TX | TBD |
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.
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 66103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| General Surgery | TX | |
| General Surgery | OK | |
| General Surgery | TX | |
| General Surgery | TX | |
| General Surgery | MO | |
| General Surgery | TX | |
| General Surgery | TX | |
| General Surgery | TX | |
| General Surgery | TX |
Reviews
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