1. Home
  2. Directory
  3. Ohio
  4. Englewood
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXANDER TYLER PROUTY DO
NPI 1013610195
Student in an Organized Health Care Education/Training Program in Englewood, OH

Active since March 27, 2023PECOS Enrolled
9000 N MAIN ST STE G-35, ENGLEWOOD, OH 45415(937) 734-6784 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexander Tyler Prouty Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER TYLER PROUTY DO (NPI 1013610195) is an individual student in an organized health care education/training program in Englewood, Ohio and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1013610195
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEXANDER TYLER PROUTYCredential: DO
Location Address9000 N MAIN ST STE G-35Englewood, OH 45415-1182
Mailing Address1 Wyoming StDayton, OH 45409-2722 · (937) 208-8000
Phone(937) 734-6784
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1013610195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9000 N MAIN ST STE G-35, Englewood, OH 45415
Open in Google Maps ↗

Secondary Practice Location 1

Location 14100 W 3rd StDayton, OH 45428-9000 · Phone (937) 268-6511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Tyler Prouty Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER J LAURICELLA DO
Family Medicine
9000 N MAIN ST STE G-35
ENGLEWOOD, OH 45415
Montgomery County (937) 836-4361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Prouty's NPI number?

The NPI number for Alexander Prouty is 1013610195. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Alexander Prouty located?

Alexander Prouty practices at 9000 N Main St Ste G-35, Englewood, OH 45415. The listed phone number is (937) 734-6784.

What is Alexander Prouty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alexander Prouty enrolled in Medicare?

Yes. Alexander Prouty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Prouty was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.