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ALEXANDER HAN MIN CONEZIO DO
NPI 1710637368
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since March 26, 2022PECOS Enrolled
4201 SAINT ANTOINE ST, DETROIT, MI 48201(313) 745-3000 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alexander Han Min Conezio Do NPPES

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

ALEXANDER HAN MIN CONEZIO DO (NPI 1710637368) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710637368
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEXANDER HAN MIN CONEZIOCredential: DO
Location Address4201 SAINT ANTOINE STDetroit, MI 48201-2153
Mailing Address2401 W Belvedere AveBaltimore, MD 21215-5216 · (410) 601-7639
Phone(313) 745-3000
Sole ProprietorYes
Enumeration DateMarch 26, 2022
Last NPPES UpdateJune 19, 2023
NPPES CertifiedJune 18, 2023
✔ NPI 1710637368 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.
4201 SAINT ANTOINE ST, Detroit, MI 48201
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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 Han Min Conezio 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 20

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

DR. ZOHA NIZAMI
Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
DR. PUJA LAROIA DO
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
ELIZABETH ANNE RANELLA CRNA
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (952) 442-9770
GERARD LANCASTER MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
SARAH ZHANG
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Wayne County (313) 993-2529
DAVID BURKHOLDER
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Wayne County (313) 993-2530
DR. DANIEL RAY CAVAZOS MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
WAHAJUDDIN MOHAMMAD DO
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146

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 Conezio's NPI number?

The NPI number for Alexander Conezio is 1710637368. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Where is Alexander Conezio located?

Alexander Conezio practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 745-3000.

What is Alexander Conezio'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 Conezio enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alexander Conezio was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.