Individual provider Active NPI

Alain Rose Elian, MD

  • Surgery Physician
  • Kalamazoo, MI
National Provider Identifier
1871750844
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301092037 Issued in MI
Practice address
1717 Shaffer St
Kalamazoo, MI 49048-1647
Phone
(269) 226-5456
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 62529-20 WI
Surgery Physician 208600000X 4301092037 MI Primary
Trauma Surgery Physician 2086S0127X 4301092037 MI

Addresses

Primary practice location

1717 Shaffer St
Kalamazoo, MI 49048-1647

Mailing address

1717 Shaffer St
Kalamazoo, MI 49048-1647

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
I20150708000678 MI Practitioner - General SurgeryPractitioner - Other (Physician) 9335379502 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
Ascension Borgess Allegan HospitalGroup PAC ID 5092750356, shared by 7 NPIs, 17 clinicians

Practice addresses (Care Compare)

1717 Shaffer St
Kalamazoo, MI 49048-1647
Phone (269) 226-5290

551 Linn St
Allegan, MI 49010-1595
Phone (269) 686-4926

Hospital & facility affiliations

  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Beacon Allegan Hospital, Allegan, MI, CCN 231328
  • Three Rivers Health Hospital, Three Rivers, MI, CCN 230015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux28
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Allegan Hospital CurrentSince Nov 1, 2022 Accepting new patients
Ascension Medical Group Promed Surgery Current Accepting new patients
Ascension Borgess Allegan Hospital Current Accepting new patients
Bronson Methodist Hospital Trauma Surgery CurrentSince Mar 27, 2017 Accepting new patients
Ascension Borgess Allegan Hospital CurrentSince Nov 1, 2022 Accepting new patients
Ascension Medical Group Promed CurrentSince Jul 1, 2015 Accepting new patients
Promed Healthcare CurrentSince Jul 1, 2015 Accepting new patients
Ascension Borgess Hospital Past Accepting new patients

Locations

551 Linn St
Allegan, MI 49010
Phone (269) 686-5800

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

601 John St
Ste M-283
Kalamazoo, MI 49007
Phone (269) 349-7696

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

1717 Shaffer St
Ste 124
Kalamazoo, MI 49048
Phone (269) 226-5456

1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

715 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-8471

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: alain.elian.p1@direct.alleganfamilyhealth.nextgenshare.com

Organizations & group practices 9

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 3

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1871750844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481647",
            "telephone_number": "269-226-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAN",
        "first_name": "ALAIN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "62529-20",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301092037",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MI",
            "license": "4301092037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.