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ALEXANDER COAKLEY MD
NPI 1396584850
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since May 23, 2024PECOS Enrolled
2450 RIVERSIDE AVENUE S, MINNEAPOLIS, MN 55454(612) 626-1596 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexander Coakley Md NPPES

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

ALEXANDER COAKLEY MD (NPI 1396584850) is an individual student in an organized health care education/training program in Minneapolis, Minnesota, licensed in Minnesota (34587) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396584850
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEXANDER COAKLEYCredential: MD
Location Address2450 RIVERSIDE AVENUE SMinneapolis, MN 55454
Mailing Address2450 Riverside Avenue SMinneapolis, MN 55454 · (612) 626-1596
Phone(612) 626-1596
Sole ProprietorNo
Enumeration DateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1396584850 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 MN · 34587
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.
2450 RIVERSIDE AVENUE S, Minneapolis, MN 55454
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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)

Alexander Coakley Md 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.

MARISSA MCKENNA DO
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVENUE S
MINNEAPOLIS, MN 55454
Hennepin County (612) 626-1596

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 Coakley's NPI number?

The NPI number for Alexander Coakley is 1396584850. It was assigned to this individual provider in the NPPES registry on May 23, 2024.

Where is Alexander Coakley located?

Alexander Coakley practices at 2450 Riverside Avenue S, Minneapolis, MN 55454. The listed phone number is (612) 626-1596.

What is Alexander Coakley'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 Coakley enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alexander Coakley was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.