Individual provider Active NPI

Alexander Marinica

  • Trauma Surgery Physician
  • Detroit, MI
National Provider Identifier
1033501242
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
5101027038 Issued in MI
Practice address
6071 W Outer Dr Ste 121
Detroit, MI 48235-2624
Phone
(313) 966-3222
NPI assigned
Feb 25, 2015
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101027038 MI
Surgical Critical Care Physician 2086S0102X 5101027038 MI
Trauma Surgery Physician 2086S0127X 5101027038 MI Primary

Addresses

Primary practice location

6071 W Outer Dr Ste 121
Detroit, MI 48235-2624

Mailing address

1698 Banbury St
Birmingham, MI 48009-7159
Phone (734) 383-5182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210616001830 TX Practitioner - General Surgery 7517269533 Reassigns benefits to 1 organization
I20220812002676 MI Practitioner - General SurgeryPractitioner - Other (Physician) 7517269533 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Surgical PLCGroup PAC ID 3870905839, 3 clinicians
United Critical Care PLCGroup PAC ID 1153602768, 3 clinicians
United Trauma Care PLCGroup PAC ID 3476833062, 7 clinicians

Practice addresses (Care Compare)

1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (348) 947-3370

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101027038MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Critical Care PLC Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 1, 2021 Accepting new patients
University Physician Group Single Specialty CurrentSince Feb 15, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Surgery CurrentSince Aug 1, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Single Specialty Current Accepting new patients
United Trauma Care PLC Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
VHS Sinai-Grace Hospital Inc Past Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

20400 Livernois Ave
Detroit, MI 48221
Phone (313) 864-3766

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

4201 Saint Antoine St
#9C
Detroit, MI 48201
Phone (313) 966-0463

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

6071 W Outer Dr
Ste 121
Detroit, MI 48235
Phone (313) 966-3222

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: amarinica110508@direct.phhs.org
  • Direct secure messaging: amarinica558886@direct.hfhs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1033501242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 BANBURY ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097159",
            "telephone_number": "734-383-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR STE 121",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINICA",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-25",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101027038",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "5101027038",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MI",
            "license": "5101027038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.