DR. MARY ANNE ALEXANDER (M.D.) – Internal Medicine Physician, NPI 1043570294

DR. MARY ANNE ALEXANDER (M.D.) is a healthcare provider. based in Lake ridge, Virginia. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 0101235208 (VA). The NPI Number for DR. MARY ANNE ALEXANDER (M.D.) is 1043570294

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY ANNE ALEXANDER (M.D.)
NPI
1043570294
Phone
(703) 357-9707
Address
2199 OLD BRIDGE RD
Enumeration Date
22 May 2012
Last Update Date
17 February 2017

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
9198452125
Graduation Year
1997 (29 years ago)
PAC ID
4183935307
Group Practice PAC ID
3779489588
Professional Enrollment ID
I20171115003760
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for DR. MARY ANNE ALEXANDER (M.D.)

  • 2199 OLD BRIDGE RD

    LAKE RIDGE, VA 221922911

    Phone: (703) 357-9707

    Fax: (703) 357-9708

    Type: Location

  • PO BOX 758963

    BALTIMORE, MD 212758963

    Phone: (804) 968-5700

    Fax: (804) 217-7991

    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: 2017-11-15

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
I20171115003760IInternal MedicineNCTBD

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 22192)

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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: 3779489588View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. MARY ANNE ALEXANDER (M.D.)?
Save NPI 1043570294 if you need a stable reference for DR. MARY ANNE ALEXANDER (M.D.).
Is DR. MARY ANNE ALEXANDER (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. MARY ANNE ALEXANDER (M.D.)?
The page reflects Internal Medicine Physician for DR. MARY ANNE ALEXANDER (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MARY ANNE ALEXANDER (M.D.)?
The page summarizes Lake Ridge, Virginia for DR. MARY ANNE ALEXANDER (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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