Active NPI
Mihai Dan Alexianu, M.D.
- Urology Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD469641
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00144216 | Other | WA | RRB |
| 0177760 | Other | WA | L&I |
| 8383127 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD469641 | PA | MD | Urology Physician |
| MD 00039666 | WA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | 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
- 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.
-
- General Acute Care Hospital
- Christiansted, St. Croix, VI
- NPI 1972503647
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- St Croix, VI
- NPI 1740238534
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Virtual Primary Care
- Family Medicine Physician
- York, PA
- NPI 1457044794
-
dba Austwell-Tivoli Medical Clinic
- Rural Health Clinic/Center
- Tivoli, TX
- NPI 1427005578
-
dba Woodsboro Medical Clinic
- Rural Health Clinic/Center
- Woodsboro, TX
- NPI 1467495184
-
- Emergency Medicine Physician
- Refugio, TX
- NPI 1821178336
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.