DR. ALEXANDRA MARIE MENILLO (D.O.) – Pediatric Cardiology Physician, NPI 1770016636
Pediatric Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,309 PEDIATRIC MEDICINE in FL
Provider Addresses for DR. ALEXANDRA MARIE MENILLO (D.O.)
9679 BAY HARBOR CIR APT 203
FORT MYERS, FL 339195723
Phone: (201) 983-7744
Type: Location
2799 W Grand Blvd
Detroit, MI 482022689
Phone: (313) 916-2000
Type: Location
1 FORD PL STE 3A
DETROIT, MI 482023450
Phone: (313) 874-4806
Fax: (313) 876-1305
Type: Mailing
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 495032559
Phone: (616) 267-9150
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $5,488.
Total Amount is formed as General ($5,488) + Research ($0) + Ownership ($0) = $5,488.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Medtronic, Inc. ($5,243).
Total Amount
$5,488
General + Research + Ownership
Payments
10
Total payment records
General Amount
$5,488
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $5,243 |
| Abbott Laboratories | $245 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211209001615 | I | Pediatric Medicine | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33919)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | MI | |
| Pediatric Medicine | MI | |
| Pediatric Medicine | OH | |
| Pediatric Medicine | MI | |
| Pediatric Medicine | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nephrology, Pediatric Medicine | MI | |
| - | MI | |
| Pediatric Medicine | TN |
Reviews
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