Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alexandra Marie Menillo, DO

Individual provider Pediatrics Physician · NPI 1770016636

Dr. Alexandra Marie Menillo, DO is a Pediatric Medicine in Grand Rapids, Michigan. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2017, 9 years ago. Practices with University Pediatricians, a 128-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

25 Michigan St NE Ste 4200
Grand Rapids, MI 49503-2559
Phone: (616) 267-9150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2799 W Grand Blvd, Detroit, MI 48202-2689 — (313) 916-2000

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 5101026148 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 5101026148 (MI)

Record details

NPI number1770016636
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 7, 2017
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2017 (9 years in practice)
Group practice University Pediatricians — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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