Individual provider Active NPI

Alexandra Oprescu

  • Internal Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1902914385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301058535 Issued in MI
Practice address
1701 Gull Rd
Kalamazoo, MI 49048-1609
Phone
(269) 226-5290
NPI assigned
Aug 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301058535 MI Primary

Addresses

Primary practice location

1701 Gull Rd
Kalamazoo, MI 49048-1609

Mailing address

5943 Stadium Dr
Suite 3
Kalamazoo, MI 49009-3016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000407 MI Practitioner - Internal Medicine 1355485582 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301058535MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed Internal Medicine Current Accepting new patients
Promed Healthcare CurrentSince Oct 1, 2000 Accepting new patients
Ascension Medical Group Promed Internal Medicine CurrentSince Oct 1, 2000 Accepting new patients

Locations

3198 Solutions Ctr
Chicago, IL 60677

1701 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-2550

5943 Stadium Dr
Ste 3
Kalamazoo, MI 49009
Phone (269) 226-8315

200 N Park St
Kalamazoo, MI 49007
Phone (269) 373-7453

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902914385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 STADIUM DR",
            "address_2": "SUITE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481609",
            "telephone_number": "269-226-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPRESCU",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301058535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.