Individual provider Active NPI

Alexandra Anne Bowles, DO

  • General Practice Physician
  • Cincinnati, OH
National Provider Identifier
1073071478
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34.016375 Issued in OH
Practice address
7730 Montgomery Rd
Cincinnati, OH 45236-4283
Phone
(513) 984-4800
Fax
(513) 984-5470
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 1073071478 FL
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 34.016375 OH Primary
General Practice Physician 208D00000X 17462 FL

Addresses

Primary practice location

7730 Montgomery Rd
Cincinnati, OH 45236-4283

Mailing address

7730 Montgomery Rd
Cincinnati, OH 45236-4283
Phone (139) 844-8005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230616001384 OH Practitioner - Dermatology 0042606964 Reassigns benefits to 1 organization
I20230623001928 OH Practitioner - Osteopathic Manipulative Medicine 0042606964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cincinnati Dermatology Center LLCGroup PAC ID 3577662998, 3 clinicians

Practice addresses (Care Compare)

7730 Montgomery Rd
Suite 200
Cincinnati, OH 45236-4284
Phone (513) 984-4800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of skin lesions558
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1073071478FLMDGeneral Practice Physician
17462FLMDGeneral Practice Physician
34.016375OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Dermatology Center, LLC CurrentSince Jul 17, 2023 Accepting new patients
Signify Health, LLC General Practice CurrentSince May 16, 2023 Accepting new patients

Locations

7730 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 791-9959

7730 Montgomery Rd
Ste 200
Cincinnati, OH 45236
Phone (513) 984-3022

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1073071478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364283",
            "telephone_number": "139-844-8005",
            "fax_number": "513-984-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364283",
            "telephone_number": "513-984-4800",
            "fax_number": "513-984-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "ALEXANDRA",
        "middle_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "1073071478",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "34.016375",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "17462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.