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ALEJANDRO JUDE PABUSTAN MEDINA MD
NPI 1548062441
Student in an Organized Health Care Education/Training Program in Mount Vernon, WA

Active since March 24, 2025PECOS Enrolled
1415 E KINCAID ST, MOUNT VERNON, WA 98274(360) 428-2592 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alejandro Jude Pabustan Medina Md NPPES

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

ALEJANDRO JUDE PABUSTAN MEDINA MD (NPI 1548062441) is an individual student in an organized health care education/training program in Mount Vernon, Washington and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548062441
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEJANDRO JUDE PABUSTAN MEDINACredential: MD
Location Address1415 E KINCAID STMount Vernon, WA 98274-4126
Mailing Address1415 E Kincaid StMount Vernon, WA 98274-4126 · (360) 428-2592
Phone(360) 428-2592
Sole ProprietorNo
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1548062441 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.

1415 E KINCAID ST, Mount Vernon, WA 98274
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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)

Alejandro Jude Pabustan Medina 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.

AMREEN KAUR
Internal Medicine
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2592
CASCADE IMAGING ASSOCIATES L.L.C.
Clinic/Center (Magnetic Resonance Imaging (MRI))
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4111
DR. DANA STURTZ DPT, GCS
Physical Therapist
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-2184
DR. ALLAN MICHAEL DAMIAN M.D.
Psychiatry & Neurology (Sleep Medicine)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2550
DR. PRAVEENA THAMMIREDDY MBBS
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2592
GLEN MARK SUMAGIT
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-2115
PACIFIC NORTHWEST PATHOLOGY ASSOCIATES, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (877) 425-8646
PUBLIC HOSPITAL DIST NO 1 SKAGIT
General Acute Care Hospital
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4111

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 Alejandro Jude Medina's NPI number?

The NPI number for Alejandro Jude Medina is 1548062441. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Alejandro Jude Medina located?

Alejandro Jude Medina practices at 1415 E Kincaid St, Mount Vernon, WA 98274. The listed phone number is (360) 428-2592.

What is Alejandro Jude Medina's specialty?

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

Is Alejandro Jude Medina enrolled in Medicare?

Yes. Alejandro Jude Medina is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alejandro Jude Medina was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.