Alexandra Buckwalter, MD

Family Medicine in Dixon, IL. Individual provider (NPI-1).

NPI number1750138939

StatusActive

Last updated in NPPESOct 7, 2026

Details

NPI: 1750138939
Entity type: Individual (NPI-1)
Name: Alexandra Buckwalter
Credential: MD
Sex: Female
Sole proprietor: Yes
Enumeration date: May 4, 2024
Certification date: Oct 7, 2026
Last updated: Oct 7, 2026

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	036182233	IL	Yes

Practice location

403 E 1st St
Dixon, IL 61021-3116

Phone 815-285-5629 · Fax 815-285-5634

Mailing address

403 E 1st St
Dixon, IL 61021-3116

Phone 815-285-5629 · Fax 815-285-5634

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Dixon, IL

All 25 Family Medicine Physician providers in Dixon · All 830 providers in Dixon

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