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

Dr. Alexander E Fondaw, MD

Individual provider Surgery Physician · NPI 1356904361

Dr. Alexander E Fondaw, MD is a General Surgery in Overland Park, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2019, 7 years ago. Practices with Southwest Bariatric Surgeons, PLLC, a 9-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
7
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS, MO
In the registry since
2019
Specialties on file
2
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

5100 W 110th St Ste 110
Overland Park, KS 66211-1215
Phone: (913) 345-6960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2900 N Lake Shore Dr, Chicago, IL 60657-5640 — (773) 665-6730
  • 1980 Se Blue Pkwy Ste 2120, Lees Summit, MO 64063-1079 — (913) 345-6960

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0449361 (KS)
Surgery Physician Taxonomy 208600000X · Licence 2023048097 (MO)

Record details

NPI number1356904361
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESJuly 22, 2024
Certification dateJuly 19, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2019 (7 years in practice)
Group practice Southwest Bariatric Surgeons, Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Overland Park