ALEXIS MARIE CASILLAS MD
NPI 1396595112
Student in an Organized Health Care Education/Training Program in Perrysburg, OH

Q: What is Alexis Casillas's NPI number?

The NPI number for Alexis Casillas is 1396595112. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Alexis Casillas'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 Alexis Casillas was last updated on September 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2024PECOS Enrolled

7045 LIGHTHOUSE WAY, PERRYSBURG, OH 43551(419) 873-6836 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Alexis Marie Casillas Md NPPES

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

ALEXIS MARIE CASILLAS MD (NPI 1396595112) is an individual student in an organized health care education/training program in Perrysburg, Ohio, licensed in Ohio (57.256009) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396595112

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALEXIS MARIE CASILLASCredential: MD

Location Address7045 LIGHTHOUSE WAYPerrysburg, OH 43551-7000

Mailing Address2213 Cherry StToledo, OH 43608-2603 · (419) 251-3232

Phone(419) 873-6836

Sole ProprietorYes

Enumeration DateMarch 25, 2024

Last NPPES UpdateSeptember 5, 2024

NPPES CertifiedSeptember 5, 2024

✔ NPI 1396595112 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 OH · 57.256009

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.

7045 LIGHTHOUSE WAY, Perrysburg, OH 43551

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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)

Alexis Marie Casillas 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 20

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

MEGAN L CRANOR DO

Family Medicine