Active NPI
Alejandro Nakahodo, M.D.
- Specialist
- Muskegon, MI
National Provider Identifier
1013925353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AN033592
- Practice address
- 1560 E Sherman Blvd
Suite 245
Muskegon, MI 49444-1867 - Phone
- (231) 733-1272
- Fax
- (231) 733-0111
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | AN033592 | MI | Primary |
Addresses
Primary practice location
1560 E Sherman Blvd
Suite 245
Muskegon, MI 49444-1867
Mailing address
1560 E Sherman Blvd
Suite 245
Muskegon, MI 49444-1867
Phone (231) 733-1272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1087894 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AN033592 | MI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Specialty Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Muskegon, MI
- NPI 1629010384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013925353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E SHERMAN BLVD",
"address_2": "SUITE 245",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441867",
"telephone_number": "231-733-1272",
"fax_number": "231-733-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 E SHERMAN BLVD",
"address_2": "SUITE 245",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441867",
"telephone_number": "231-733-1272",
"fax_number": "231-733-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAHODO",
"first_name": "ALEJANDRO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "AN033592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1087894",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.