ALEXEYENKO MEDICAL ASSOCIATES PC – Internal Medicine Physician, NPI 1669468419

ALEXEYENKO MEDICAL ASSOCIATES PC is a healthcare provider. based in Lynn, Massachusetts. specializing in Internal Medicine Physician. The organization holds a License No. 77955 (MA). The NPI Number for ALEXEYENKO MEDICAL ASSOCIATES PC is 1669468419

Main info

Organization
Name
ALEXEYENKO MEDICAL ASSOCIATES PC
NPI
1669468419
Phone
(781) 581-6181
Address
24 STATE ST
Authorized Official
ALEXANDRE ALEXEYENKO PRESIDENT M.D.
Enumeration Date
26 September 2005
Last Update Date
14 October 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ALEXEYENKO MEDICAL ASSOCIATES PC

  • 20;22;24;26;28;30;32;34, State Street, Central Square Historic District, Lynn, Essex County, Massachusetts, 01903, United States

    LYNN, MA 019011505

    Phone: (781) 581-6181

    Fax: (781) 599-3229

    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: 2005-06-06

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
O20050606000170OClinic/Group PracticeMATBD

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 01901)

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Reviews

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Frequently asked questions

Can I use this page to confirm ALEXEYENKO MEDICAL ASSOCIATES PC's NPI?
Yes. ALEXEYENKO MEDICAL ASSOCIATES PC is listed with NPI 1669468419 in the public NPI dataset.
Is ALEXEYENKO MEDICAL ASSOCIATES PC listed as active for patients and plans?
The listing shows ALEXEYENKO MEDICAL ASSOCIATES PC as active in the NPI system.
What taxonomy line describes ALEXEYENKO MEDICAL ASSOCIATES PC?
For research purposes, treat ALEXEYENKO MEDICAL ASSOCIATES PC as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ALEXEYENKO MEDICAL ASSOCIATES PC on a map?
Expect Lynn, Massachusetts as a primary anchor for ALEXEYENKO MEDICAL ASSOCIATES PC unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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