Alexis Robin Balomenos, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301066394 Issued in MI

Practice address

58115 Main St
New Haven, MI 48048-2686

Phone

(586) 749-4444

Fax

(586) 749-9114

NPI assigned

Aug 1, 2006

Last updated

Aug 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: abalomenos@tcp.directglo.com
• Direct secure messaging: abalomenos1116161@direct.hfhs.org

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.

• Tender Care Pediatrics, PLLC

  • Pediatrics Physician
  • New Haven, MI
  • NPI 1992084693
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1477569903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58115 MAIN ST",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "480482686",
            "telephone_number": "586-749-4444",
            "fax_number": "586-749-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58115 MAIN ST",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "480482686",
            "telephone_number": "586-749-4444",
            "fax_number": "586-749-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOMENOS",
        "first_name": "ALEXIS",
        "middle_name": "ROBIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301066394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4129423",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Adamo
• Kristin Nicole Akers, CPC
• Amaya Group Home
• Apljak Counseling
• Jennifer Boileau
• Joshua Braden
• Dannette Brown, MA, LLPC
• Erika Ann Brown, DLLP LPC NCC CCTP
• Aaron William Cloutier, D.O

• Pediatrics Physician in New Haven, MI
• Providers in New Haven, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.