Alexis Dandalides Ehlert, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601008882 Issued in MI

Practice address

135 Barclay Cir Ste 104
Rochester Hills, MI 48307-4599

Phone

(248) 853-7270

NPI assigned

Feb 8, 2019

Last updated

Jun 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adandalides572077@direct.hfhs.org

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.

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  • NPI 1780943266

  Single Specialty

  Medicare reassignment NPD
• Smita Bijlani MD PC

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  • Endocrinology, Diabetes & Metabolism Physician
  • Rochester Hills, MI
  • NPI 1639105760
  Medicare reassignment
• Endocrine and Metabolic Disorders Center PC

  dba Endocrine and Metabolic Disorders Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Shelby TWP, MI
  • NPI 1114270519

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1689139156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 ATKINS DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BARCLAY CIR STE 104",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074599",
            "telephone_number": "248-853-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDALIDES EHLERT",
        "first_name": "ALEXIS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601008882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Frederick Daley, LMSW-CLINICAL
• Lauren Holly Daley
• Ronda L Dalton, DC
• Daly Counseling & Consulting, PLLC
• Dan Pillow, PH.D., PC
• Kim T Dang-Schlabach, DO
• Lori Daniel
• Danny's Home Health Care of Michigan, Inc.
• Kiera Darden
• Kristin Lynn Darr, MD

• Medical Physician Assistant in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.