Alexandra Marie Ristow, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD474749 Issued in PA

Practice address

150 Monument Rd Ste 500
Bala Cynwyd, PA 19004-1701

Phone

(855) 478-8208

NPI assigned

Apr 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NC, SC3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Patina Medical Group, PC

  • Primary Care Clinic/Center
  • Bala Cynwyd, PA
  • NPI 1801568910

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Patina Medical Group, PC

  • Primary Care Clinic/Center
  • Charlotte, NC
  • NPI 1467147710

  Internal Medicine, SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1114361839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 500",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041701",
            "telephone_number": "855-478-8208",
            "fax_number": "888-506-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 500",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041701",
            "telephone_number": "855-478-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTOW",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME131321",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD474749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard G. Schmidt M.D. P.C.
• Richard J. Mandel, MD, PC
• Elisha Richter
• John F Rickards, RD, LDN
• Rise Audiology, LLC (Live Better Hearing & Balance)
• Jacqueline A Robins, M.SC
• Katherine Robinson
• Rachel Robinson
• Carla Rodgers, M.D.
• Zakeya Rodriguez

• Internal Medicine Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.