Individual provider Active NPI

Alice Florina Doe, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Kalamazoo, MI
National Provider Identifier
1124238654
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
4301083451 Issued in MI
Practice address
1717 Shaffer St Ste 124
Borgess Health
Kalamazoo, MI 49048-1629
Phone
(269) 226-5967
Fax
(269) 552-0284
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301083451 MI
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4301083451 MI Primary

Addresses

Primary practice location

1717 Shaffer St Ste 124
Borgess Health
Kalamazoo, MI 49048-1629

Mailing address

1535 Gull Rd Ste 130
Kalamazoo, MI 49048-1659
Phone (269) 345-1161

Other identifiers 4

IdentifierTypeStateIssuer
1124238654OtherMINPI
1407827900OtherMINPI NUMBER FOR THE GROUP PRACTICE (SLEEP DIAGNOSTICS OF MICHIGAN PC)
1124238654MedicaidMI
700F510150OtherMIBLUE CROSS

Other names 1

  • Dr. Alice Florina Stroe Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000527 MI Practitioner - Sleep MedicinePractitioner - Internal Medicine 6103997044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

1701 Gull Rd
Kalamazoo, MI 49048-1609
Phone (616) 226-5290

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301083451MIMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Healthcare CurrentSince Apr 2, 2012 Accepting new patients
Ascension Medical Group Promed Internal Medicine Current Accepting new patients
Ascension Medical Group Promed CurrentSince Apr 2, 2012 Accepting new patients
Sleep Diagnostics of Michigan PC PastSince May 1, 2001 Accepting new patients

Locations

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

1717 Shaffer St
Ste 002
Kalamazoo, MI 49048

1535 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5927

1717 Shaffer St
Ste 124
Kalamazoo, MI 49048
Phone (269) 226-5456

1535 Gull Rd
Ste 130
Kalamazoo, MI 49048
Phone (269) 345-1161

1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050

1701 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-2550

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1124238654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 GULL RD STE 130",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481659",
            "telephone_number": "269-345-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST STE 124",
            "address_2": "BORGESS HEALTH",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481629",
            "telephone_number": "269-226-5967",
            "fax_number": "269-552-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOE",
        "first_name": "ALICE",
        "middle_name": "FLORINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301083451",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301083451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124238654",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER FOR THE GROUP PRACTICE (SLEEP DIAGNOSTICS OF MICHIGAN PC)",
            "identifier": "1407827900",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124238654",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "700F510150",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "STROE",
            "middle_name": "FLORINA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.