ALEXIS ROBIN BALOMENOS M.D. NPI 1477569903

NPI Information

  • NPI: 1477569903
  • Provider Name: ALEXIS ROBIN BALOMENOS, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 58115 MAIN ST
    NEW HAVEN, MI
    ZIP 48048
  • Phone: (586) 749-4444

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NPI Details

Alexis Robin Balomenos, M.D. is a pediatrics in New Haven, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Alexis Robin Balomenos, M.D. NPI is 1477569903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

58115 MAIN ST
NEW HAVEN, MI
ZIP 48048-686
Phone: (586) 749-4444
Fax: (586) 749-9114

The enumeration date for this NPI number is 8/1/2006 and was last updated on 8/29/2011.

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
1208000000XPediatrics4301066394MICHIGANYes

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
14129423MEDICAIDMICHIGAN
26U3472MEDICARE UPINMICHIGAN

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: 11/21/2025

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