Individual provider Active NPI

Alexandrea Beatrice Ochab, PA-C

  • Medical Physician Assistant
  • Dearborn, MI
National Provider Identifier
1639791981
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601010840 Issued in MI
Practice address
22361 W Village Dr Ste 102
Dearborn, MI 48124-2227
Phone
(313) 888-8199
NPI assigned
May 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X 5601010840 MI Primary

Addresses

Primary practice location

22361 W Village Dr Ste 102
Dearborn, MI 48124-2227

Mailing address

20014 Twin Pond Dr
Brownstown TWP, MI 48183-1167
Phone (623) 221-1553

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025001330 MI Practitioner - Physician Assistant 0648646109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tenny Internal Medicine PLLCGroup PAC ID 5991127896, 6 clinicians

Practice addresses (Care Compare)

22361 W Village Dr
Suite 102
Dearborn, MI 48124-2227
Phone (313) 563-2288

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NH PLLC CurrentSince Aug 20, 2022 Accepting new patients
Tenny Internal Medicine PLLC CurrentSince Aug 8, 2025 Accepting new patients
James Bazzi MD PC PastSince Aug 8, 2025 Accepting new patients

Locations

22361 W Village Dr
Ste 102
Dearborn, MI 48124
Phone (313) 563-2288

22361 W Village Dr
Dearborn, MI 48124
Phone (313) 350-5859

26346 Gibraltar Rd
Flat Rock, MI 48134
Phone (717) 557-4181

Interoperability endpoints

  • Direct secure messaging: alexandrea.cochran.1@30290.direct.athenahealth.com
  • Direct secure messaging: alexandrea.cochran.1@20892.direct.athenahealth.com
  • Direct secure messaging: acochran804100@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/20892/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1588982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1639791981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20014 TWIN POND DR",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831167",
            "telephone_number": "623-221-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22361 W VILLAGE DR STE 102",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242227",
            "telephone_number": "313-888-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHAB",
        "first_name": "ALEXANDREA",
        "middle_name": "BEATRICE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-09",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601010840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.