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ALEXANDRA MARINA TANGALOS MD
NPI 1952033383
Student in an Organized Health Care Education/Training Program in South Lyon, MI

Active since June 24, 2022PECOS Enrolled
210 N LAFAYETTE ST, SOUTH LYON, MI 48178(248) 437-6300(248) 437-3245 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2024, Apr 1, 2024 (2 updates tracked since 2024).

About Alexandra Marina Tangalos Md NPPES

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

ALEXANDRA MARINA TANGALOS MD (NPI 1952033383) is an individual student in an organized health care education/training program in South Lyon, Michigan and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952033383
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXANDRA MARINA TANGALOSCredential: MD
Location Address210 N LAFAYETTE STSouth Lyon, MI 48178-2048
Mailing Address210 N Lafayette StSouth Lyon, MI 48178-2048 · (248) 437-6300 · Fax (248) 437-3245
Phone(248) 437-6300
Fax(248) 437-3245
Sole ProprietorNo
Enumeration DateJune 24, 2022
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1952033383 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.
210 N LAFAYETTE ST, South Lyon, MI 48178
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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)

Alexandra Marina Tangalos 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.

MR. DYLAN THOMAS SCHEID
Nurse Practitioner (Family)
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-1744
DR. STEVE SUNGMIN KIM M.D.
Family Medicine
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-1744
EMILY VOTEL
Student in an Organized Health Care Education/Training Program
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-6300
MONICA KANDOLA M.D
Student in an Organized Health Care Education/Training Program
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-1744
DR. KATELYN SULLIVAN DO
Student in an Organized Health Care Education/Training Program
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-6300
LAUREN H. GROSKAUFMANIS MD
Family Medicine
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-1744
CHEROLEE RICKEY TREMBATH MD
Family Medicine
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-1744
SAMAR DAWOOD M.D.
Family Medicine
210 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 437-1744

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 Alexandra Tangalos's NPI number?

The NPI number for Alexandra Tangalos is 1952033383. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Alexandra Tangalos located?

Alexandra Tangalos practices at 210 N Lafayette St, South Lyon, MI 48178. The listed phone number is (248) 437-6300.

What is Alexandra Tangalos's specialty?

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

Is Alexandra Tangalos enrolled in Medicare?

Yes. Alexandra Tangalos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Tangalos was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.