Individual provider Active NPI

Alexander Schneider, DO

  • Family Medicine Physician
  • Niles, MI
National Provider Identifier
1609303098
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101024477 Issued in MI
Practice address
1951 Oak St
Niles, MI 49120-3738
Phone
(269) 262-4749
NPI assigned
May 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5101024477 MI
Family Medicine Physician 207Q00000X 5101024477 MI Primary

Addresses

Primary practice location

1951 Oak St
Niles, MI 49120-3738

Mailing address

261 M 62
Cassopolis, MI 49031-1034
Phone (269) 445-3874

Other practice location 1

4660 S Hagadorn Rd Ste 500
East Lansing, MI 48823-6804
Phone (517) 432-6144

Other practice location 2

261 M 62
Cassopolis, MI 49031-1034
Phone (269) 445-3874

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
I20201211001981 MI Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6305258500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Immediate Care CenterGroup PAC ID 2264423771, 23 clinicians

Practice addresses (Care Compare)

261 M
Suite 62
Cassopolis, MI 49031-1034
Phone (269) 445-3874

Hospital & facility affiliations

  • Corewell Health Lakeland Hospitals St Joseph Hospital Home health agency, Benton Harbor, MI, CCN 237163
  • Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Immediate Care Center Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Lakeland Immediate Care Center CurrentSince Aug 1, 2021 Accepting new patients
Lansing Urgent Care, PLC PastSince Oct 22, 2020 Accepting new patients
Lakeland Immediate Care Center Past Accepting new patients

Locations

261 M 62
Cassopolis, MI 49031
Phone (269) 445-3874

1951 Oak St
Niles, MI 49120
Phone (269) 262-4749

Interoperability endpoints

  • Direct secure messaging: aschneider1271820@epic00.shdirect.org

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": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1609303098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 M 62",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311034",
            "telephone_number": "269-445-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 OAK ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203738",
            "telephone_number": "269-262-4749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 S Hagadorn Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236804",
            "country_code": "US",
            "telephone_number": "517-432-6144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "261 M 62",
            "address_purpose": "LOCATION",
            "city": "Cassopolis",
            "state": "MI",
            "postal_code": "490311034",
            "country_code": "US",
            "telephone_number": "269-445-3874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101024477",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101024477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

Verify at the official NPI Registry.