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ALIX MIZOUE MD
NPI 1992382501
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 28, 2021PECOS Enrolled
22 S GREENE ST # N5W70, BALTIMORE, MD 21201(410) 328-6960 Get Directions Write a Review

NPPES record last updated: March 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alix Mizoue Md NPPES

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

ALIX MIZOUE MD (NPI 1992382501) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992382501
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALIX MIZOUECredential: MD
Location Address22 S GREENE ST # N5W70Baltimore, MD 21201-1544
Mailing Address22 S Greene St # N5w70Baltimore, MD 21201-1544 · (410) 328-6960 · Fax (410) 328-0646
Phone(410) 328-6960
Sole ProprietorNo
Enumeration DateMarch 28, 2021
NPPES CertifiedMarch 28, 2021
✔ NPI 1992382501 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.
22 S GREENE ST # N5W70, Baltimore, MD 21201
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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)

Alix Mizoue 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 12

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

CARA LEE
Pediatrics
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-6960
ERIN BEWLEY MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-5213
BRANDI SARGENT DO
Pediatrics (Neonatal-Perinatal Medicine)
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-5213
DR. JONATHAN MICHAEL FREEMAN MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-6960
KAREN R HAWKS
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-6960
COURTNEY NICOLE LINK MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-5887
RAHMA ABD EL-SHAFY
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-6662
MADELINE CHARTIER CLARK MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-6960

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 Alix Mizoue's NPI number?

The NPI number for Alix Mizoue is 1992382501. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Alix Mizoue located?

Alix Mizoue practices at 22 S Greene St # N5w70, Baltimore, MD 21201. The listed phone number is (410) 328-6960.

What is Alix Mizoue's specialty?

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

Is Alix Mizoue enrolled in Medicare?

Yes. Alix Mizoue is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alix Mizoue was last updated on March 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.