ALEXANDRA BELOHLAVEK DO
NPI 1730979758
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since May 12, 2025PECOS Enrolled
1 WYOMING ST, DAYTON, OH 45409(937) 208-8000 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2025, May 12, 2025 (2 updates tracked since 2025).

About Alexandra Belohlavek Do NPPES

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

ALEXANDRA BELOHLAVEK DO (NPI 1730979758) is an individual student in an organized health care education/training program in Dayton, Ohio, licensed in Ohio (58.035141) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730979758
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXANDRA BELOHLAVEKCredential: DO
Location Address1 WYOMING STDayton, OH 45409-2722
Mailing Address1403 2nd St NwMandan, ND 58554-4903 · (701) 202-6032
Sole ProprietorYes
Enumeration DateMay 12, 2025
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
NPI 1730979758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in OH · 58.035141
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.

1 WYOMING ST, Dayton, OH 45409

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alexandra Belohlavek 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.

Pharmacist
1 WYOMING ST
DAYTON, OH 45409
Radiology (Diagnostic Radiology)
1 WYOMING ST
DAYTON, OH 45409
Radiology (Diagnostic Radiology)
1 WYOMING ST
DAYTON, OH 45409
Radiology (Diagnostic Radiology)
1 WYOMING ST
DAYTON, OH 45409
Radiology (Diagnostic Radiology)
1 WYOMING ST
DAYTON, OH 45409
Radiology (Diagnostic Radiology)
1 WYOMING ST
DAYTON, OH 45409
Radiology (Diagnostic Radiology)
1 WYOMING ST
DAYTON, OH 45409
Radiology (Diagnostic Radiology)
1 WYOMING ST
DAYTON, OH 45409

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730979758, enumerated as an "individual" on May 12, 2025.

The provider is located at 1 WYOMING ST DAYTON, OH 45409 and the phone number is (937) 208-8000.

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