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

Dr. Alexander Trebelev, MD

Individual provider Body Imaging Physician · NPI 1104863489

Dr. Alexander Trebelev, MD is a Diagnostic Radiology in Lewisberry, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 2000, 26 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
26
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

629D Lowther Rd
Lewisberry, PA 17339-9222
Phone: (717) 932-5200
Fax: (717) 932-3095
Show map & directions

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

Additional practice locations (1)

  • 5501 Old York Rd, Philadelphia, PA 19141-3018 — (215) 456-6200

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD428724 (PA)
Body Imaging Physician Taxonomy 2085B0100X · Licence MD428724 (PA)

Record details

NPI number1104863489
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address629d Lowther Rd, Lewisberry, PA 17339-9222

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2000 (26 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Lewisberry