Active NPI
Angelo Augusto Messina Alvarez, MD
- Student in an Organized Health Care Education/Training Program
- Detroit, MI
National Provider Identifier
1003487836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 6071 W. Outer Drive 4TH Floor
Department of Medicine
Detroit, MI 48235 - Phone
- (313) 933-3250
- NPI assigned
- Jul 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
6071 W. Outer Drive 4TH Floor
Department of Medicine
Detroit, MI 48235
Mailing address
6071 W. Outer Drive 4TH Floor
Department of Medicine
Detroit, MI 48235
Phone (313) 933-3250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210809002205 | MI | Order and Referring Only - Internal Medicine | 8921402207 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1003487836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6071 W. OUTER DRIVE 4TH FLOOR",
"address_2": "DEPARTMENT OF MEDICINE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48235",
"telephone_number": "313-933-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6071 W. OUTER DRIVE 4TH FLOOR",
"address_2": "DEPARTMENT OF MEDICINE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48235",
"telephone_number": "313-933-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSINA ALVAREZ",
"first_name": "ANGELO",
"middle_name": "AUGUSTO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-02",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.