ALEXANDRA SUSLOW-GEDITZ – Internal Medicine Physician, NPI 1538258983

ALEXANDRA SUSLOW-GEDITZ is a healthcare provider. based in Omaha, Nebraska. specializing in Internal Medicine Physician. They hold a License No. 21902 (NE). The NPI Number for ALEXANDRA SUSLOW-GEDITZ is 1538258983

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA SUSLOW-GEDITZ
NPI
1538258983
Phone
(402) 827-6510
Address
5310 S 84TH ST
Enumeration Date
12 October 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4023022273
Graduation Year
1996 (30 years ago)
PAC ID
3779675152
Group Practice PAC ID
7113349895
Professional Enrollment ID
I20070815000867
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ALEXANDRA SUSLOW-GEDITZ

  • South 84th Street, Omaha, Douglas County, Nebraska, 68124, United States

    OMAHA, NE 681273775

    Phone: (402) 827-6510

    Mailing address matches the actual address.

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: 2007-08-15

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
I20070815000867IInternal MedicineNETBD

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 68127)

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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: 7113349895View full group profile
NameSpecialtyState
Nurse PractitionerNE
Family PracticeCA
Physician AssistantNE
Nurse PractitionerNE
-NE
General PracticeNE
Physician AssistantNE
Nurse PractitionerKS
Physician AssistantCT
Nurse PractitionerNE

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Frequently asked questions

What is the standard ID for ALEXANDRA SUSLOW-GEDITZ in the U.S.?
In the U.S., ALEXANDRA SUSLOW-GEDITZ is identified by NPI 1538258983.
Does the public listing show ALEXANDRA SUSLOW-GEDITZ as active?
ALEXANDRA SUSLOW-GEDITZ's NPI record reflects an active status in NPPES.
What services align with ALEXANDRA SUSLOW-GEDITZ's listing?
ALEXANDRA SUSLOW-GEDITZ's public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to ALEXANDRA SUSLOW-GEDITZ?
The directory associates ALEXANDRA SUSLOW-GEDITZ with Omaha, Nebraska. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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