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ALFONSO ACOSTA MD NPI 1629072038


NPI Information

NPI: 1629072038
Provider Name: ALFONSO ACOSTA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7173 ILANAWAY DR
WEST BLOOMFIELD, MI
ZIP 48324
Phone: (586) 929-0842
Get Directions

Alfonso Acosta, MD is a family medicine in West Bloomfield, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Alfonso Acosta, MD NPI is 1629072038. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7173 ILANAWAY DR
WEST BLOOMFIELD, MI
ZIP 48324
Phone: (586) 929-0842
Fax: (248) 366-0065

The NPI 1629072038 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 9/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301064369MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OM92770MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2OM74920MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
31106335602OTHERMICHIGANBC
4143552OTHERMICHIGANGREAT LAKES
54442468MEDICAIDMICHIGAN
6P00193884OTHERPALMETTO GBA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.