Individual provider Active NPI

Mihai Dan Alexianu, M.D.

  • Urology Physician
  • Spokane, WA
National Provider Identifier
1497863096
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD469641 Issued in PA
Practice address
820 S McClellan St
Suite 118
Spokane, WA 99204-2457
Phone
(509) 747-3147
Fax
(509) 747-0020
NPI assigned
Aug 25, 2006
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD 00039666 WA
Urology Physician 208800000X MD469641 PA Primary

Addresses

Primary practice location

820 S McClellan St
Suite 118
Spokane, WA 99204-2457

Mailing address

1310 E Blackwood LN
Spokane, WA 99223-6399
Phone (509) 456-2370

Other practice location 1

450 S Washington St Ste E
Gettysburg, PA 17325-2500
Phone (717) 339-3150

Other identifiers 3

IdentifierTypeStateIssuer
P00144216OtherWARRB
0177760OtherWAL&I
8383127MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VI2 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
I20200206002049 PA Practitioner - Urology 8022007384 Reassigns benefits to 1 organization
I20211004000497 VI Practitioner - Urology 8022007384 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD469641PAMDUrology Physician
MD 00039666WAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 22, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Jan 22, 2020 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Sep 16, 2021 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Sep 16, 2021 Accepting new patients
Refugio County Memorial Hospital District Past Accepting new patients
Refugio County Memorial Hospital District Past Accepting new patients
Refugio County Memorial Hospital District Past Accepting new patients

Locations

450 S Washington St
Ste E
Gettysburg, PA 17325
Phone (717) 338-3285

735 Norman Dr
Ste B
Lebanon, PA 17042
Phone (717) 639-2955

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

35 Monument Rd
Ste 206
York, PA 17403
Phone (717) 741-8011

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: malexianu236865@wm.providencedirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1497863096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E BLACKWOOD LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236399",
            "telephone_number": "509-456-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MCCLELLAN ST",
            "address_2": "SUITE 118",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042457",
            "telephone_number": "509-747-3147",
            "fax_number": "509-747-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 S Washington St Ste E",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252500",
            "country_code": "US",
            "telephone_number": "717-339-3150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXIANU",
        "first_name": "MIHAI",
        "middle_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD 00039666",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD469641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "P00144216",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0177760",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8383127",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.