ALBERT DIONISE DO
NPI 1659067544
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 13, 2023PECOS Enrolled
3901 BEAUBIEN ST RM 3T72, DETROIT, MI 48201(313) 745-5533 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Albert Dionise Do NPPES

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

ALBERT DIONISE DO (NPI 1659067544) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659067544
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALBERT DIONISECredential: DO
Location Address3901 BEAUBIEN ST RM 3T72Detroit, MI 48201-2119
Mailing Address211 E Harrison AveRoyal Oak, MI 48067-3233
Sole ProprietorNo
Enumeration DateApril 13, 2023
NPPES CertifiedApril 13, 2023
NPI 1659067544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

3901 BEAUBIEN ST RM 3T72, Detroit, MI 48201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Albert Dionise 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 6

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

Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST RM 3T72
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST RM 3T72
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST RM 3T72
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST RM 3T72
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST RM 3T72
DETROIT, MI 48201
Pediatrics
3901 BEAUBIEN ST RM 3T72
DETROIT, MI 48201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659067544, enumerated as an "individual" on April 13, 2023.

The provider is located at 3901 BEAUBIEN ST RM 3T72 DETROIT, MI 48201 and the phone number is (313) 745-5533.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.