JOHN DOMINIC MONTEROSSO
NPI 1235825936
Student in an Organized Health Care Education/Training Program in Warren, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 14, 2023PECOS Enrolled

12000 E 12 MILE RD, WARREN, MI 48093(586) 582-7550 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 30, 2025, Aug 20, 2024, Apr 14, 2023 (3 updates tracked since 2023).

On this page

About John Dominic Monterosso NPPES

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

JOHN DOMINIC MONTEROSSO (NPI 1235825936) is an individual student in an organized health care education/training program in Warren, Michigan, licensed in Michigan (5151016311) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235825936

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOHN DOMINIC MONTEROSSO

Location Address12000 E 12 MILE RDWarren, MI 48093-3570

Mailing Address6071 W Outer DrDetroit, MI 48235-2624

Phone(586) 582-7550

Sole ProprietorNo

Enumeration DateApril 14, 2023

Last NPPES UpdateJune 30, 20253 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1235825936 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

License✔ Licensed in MI · 5151016311

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.

12000 E 12 MILE RD, Warren, MI 48093

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Dominic Monterosso 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.