Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexander David Pederson, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1841307899

Alexander David Pederson, MD is a Pathology in Belleville, Illinois. Graduated from University of Nebraska College of Medicine in 2001, 25 years ago. Practices with Southeast Iowa Regional Medical Center Inc, a 258-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
25
Trained at
University of Nebraska College of Medicine
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

211 S 3rd St Dept OF Pathology
Belleville, IL 62220-1915
Phone: (618) 234-2120
Fax: (618) 222-4630
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 036-124938 (IL)

Record details

NPI number1841307899
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESApril 16, 2012
Mailing addressPo Box 144333, Orlando, FL 32814-4333

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Southeast Iowa Regional Medical Center Inc — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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