ALEXANDER R LUSSIER MD
NPI 1700722162
Student in an Organized Health Care Education/Training Program in Warren, MI

Q: What is Alexander Lussier's NPI number?

The NPI number for Alexander Lussier is 1700722162. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Q: What is Alexander Lussier'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 Alexander Lussier was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since April 28, 2026PECOS Enrolled

11800 E 12 MILE RD, WARREN, MI 48093(586) 573-5059(586) 573-5855 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alexander R Lussier Md NPPES

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

ALEXANDER R LUSSIER MD (NPI 1700722162) is an individual student in an organized health care education/training program in Warren, Michigan and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700722162

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameALEXANDER R LUSSIERCredential: MD

Location Address11800 E 12 MILE RDWarren, MI 48093-3472

Mailing Address11800 E 12 Mile RdWarren, MI 48093-3472 · (586) 573-5059 · Fax (586) 573-5855

Phone(586) 573-5059

Fax(586) 573-5855

Sole ProprietorYes

Enumeration DateApril 28, 2026

NPPES CertifiedApril 28, 2026

✔ NPI 1700722162 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.

11800 E 12 MILE RD, Warren, MI 48093

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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 R Lussier 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.

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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.

DR. MICHEAL BUGGIA M.D.

Emergency Medicine