Alazar Melese Birhanu

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

1FC786 Issued in SD

Practice address

1201 N Hudson Ave
Sioux Falls, SD 57104-1042

Phone

(605) 940-9324

NPI assigned

May 26, 2023

Last updated

May 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wellness Ride

  • Non-emergency Medical Transport (VAN)
  • Sioux Falls, SD
  • NPI 1639862006
  NPD Authorized official

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1487347423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NORTH HUDSON AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57104",
            "telephone_number": "160-594-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N HUDSON AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571041042",
            "telephone_number": "605-940-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRHANU",
        "first_name": "ALAZAR",
        "middle_name": "MELESE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "SD",
            "license": "1FC786",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "SD",
            "license": "01724216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Renae Binger
• Paula Marie Bingham, MA, CCC-SLP
• Vicki Binstock
• Jared Birath, CRNA
• Aaron James Bird
• Payton Elizabeth Birkel, DC
• Sydney Lovrien Bisgard, MD
• Bishop Dudley Hospitality House
• Brooke Bishop-Lafrontz, RBT
• Barbara Bishop, RBT

• Private Vehicle in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Private Vehicle in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.