DR. ALEXANDER POLO DO
NPI 1205538279
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Q: What is Alexander Polo's NPI number?

The NPI number for Alexander Polo is 1205538279. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Alexander Polo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexander Polo was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 21, 2023PECOS Enrolled

3014 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89102(702) 671-5127 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Alexander Polo Do NPPES

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

DR. ALEXANDER POLO DO (NPI 1205538279) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205538279

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ALEXANDER POLOCredential: DO

Location Address3014 W CHARLESTON BLVD STE 130Las Vegas, NV 89102-0083

Mailing Address3014 W Charleston Blvd Ste 130Las Vegas, NV 89102-0083

Phone(702) 671-5127

Sole ProprietorNo

Enumeration DateMarch 21, 2023

NPPES CertifiedMarch 21, 2023

✔ NPI 1205538279 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.

3014 W CHARLESTON BLVD STE 130, Las Vegas, NV 89102

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexander Polo 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 20

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

JOSHUA JAMES EREDICS DO

Student in an Organized Health Care Education/Training Program