ALEXANDER VENIZELOS (MD) – Neurology Physician, NPI 1063601110

ALEXANDER VENIZELOS (MD) is a healthcare provider. based in Plano, Texas. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. P5902 (TX). The NPI Number for ALEXANDER VENIZELOS (MD) is 1063601110

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER VENIZELOS (MD)
NPI
1063601110
Phone
(972) 566-5411
Address
1600 Coit Rd.
Enumeration Date
15 October 2007
Last Update Date
7 August 2018

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
5092955179
Group Practice PAC ID
2961303532
Professional Enrollment ID
I20180622000100
Address ID
OH443041619AK525XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,738 NEUROLOGY in TX

Provider Addresses for ALEXANDER VENIZELOS (MD)

  • 1600 Coit Rd.

    Suite 104

    Plano, TX 750751031

    Phone: (972) 566-5411

    Fax: (972) 519-8337

    Type: Location

  • 201, Arch Street, Arlington, Cascade Valley, Akron, Summit County, Ohio, 44304, United States

    AKRON, OH 44304

    Phone: (330) 375-7055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,364.

Total Amount is formed as General ($1,364) + Research ($0) + Ownership ($0) = $1,364.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Penumbra, Inc. ($853).

Total Amount

$1,364

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

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: 2018-06-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130715000007INeurologyTXTBD
I20180622000100INeurologyOHTBD

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 75075)

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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: 2961303532View full group profile
NameSpecialtyState
Nurse PractitionerGA
-OH
Critical Care (Intensivists)KY
-OH
Family PracticeOH
Family PracticeOH
Cardiovascular Disease (Cardiology)OH
N E P H R O L O G YOH
Nurse PractitionerOH
General SurgeryIL

Reviews

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Frequently asked questions

What identifier follows ALEXANDER VENIZELOS (MD) across health systems?
The NPI 1063601110 uniquely identifies ALEXANDER VENIZELOS (MD) in U.S. healthcare data.
Is ALEXANDER VENIZELOS (MD)'s NPI status active today?
Active status means ALEXANDER VENIZELOS (MD)'s NPI record is not deactivated in the public file.
What type of care does ALEXANDER VENIZELOS (MD) provide?
ALEXANDER VENIZELOS (MD)'s profile centers on Neurology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ALEXANDER VENIZELOS (MD)?
ALEXANDER VENIZELOS (MD) shows a connection to Plano, Texas in registry-derived data.
Can I export ALEXANDER VENIZELOS (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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