Individual provider Active NPI

Alaina L Kronenberg, M.D.

  • Ophthalmology Physician
  • Dearborn, MI
National Provider Identifier
1790731339
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
AK076661 Issued in MI
Practice address
15212 Michigan Ave
Dearborn, MI 48126-3497
Phone
(313) 582-8856
Fax
(313) 582-8265
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X AK076661 MI Primary

Addresses

Primary practice location

15212 Michigan Ave
Dearborn, MI 48126-3497

Mailing address

15212 Michigan Ave
Dearborn, MI 48126-3497
Phone (313) 582-8856

Other identifiers 1

IdentifierTypeStateIssuer
4819588MedicaidMI

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
I20040609001248 MI Practitioner - Ophthalmology 7911980156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaina Kronenberg, M.D.,PLCGroup PAC ID 3870512288, 2 clinicians

Practice addresses (Care Compare)

15212 Michigan Ave
Suite 1
Dearborn, MI 48126-3497
Phone (313) 582-8856

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AK076661MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaina Kronenberg, M.D.,PLC Ophthalmology CurrentSince Apr 26, 2004 Accepting new patients
Associated Eye Physicians of Dearborn PC Ophthalmology Current Accepting new patients

Locations

15212 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 582-8856

15212 Michigan Ave
Dearborn, MI 48126
Phone (313) 582-8856

Interoperability endpoints

  • Direct secure messaging: akronenberg@eyesurgeryinstitute.direct.eyemdemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1790731339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15212 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263497",
            "telephone_number": "313-582-8856",
            "fax_number": "313-582-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15212 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263497",
            "telephone_number": "313-582-8856",
            "fax_number": "313-582-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONENBERG",
        "first_name": "ALAINA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "AK076661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4819588",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.