Alexandra Bahar Khodadadi, MD, MSPH

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2022049388 Issued in MO

Practice address

1400 US Highway 61
Crystal Cty, MO 63028-4108

Phone

(636) 933-5337

NPI assigned

Jun 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1114543832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61",
            "city": "CRYSTAL CTY",
            "state": "MO",
            "postal_code": "630284108",
            "telephone_number": "636-933-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61",
            "city": "CRYSTAL CTY",
            "state": "MO",
            "postal_code": "630284108",
            "telephone_number": "636-933-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODADADI",
        "first_name": "ALEXANDRA",
        "middle_name": "BAHAR",
        "credential": "MD, MSPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2022049388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Bowers, PA-C
• Patricia Sue Firle, FNP
• Allison Friedhoff, DO
• Julie Anne Harris, FNP-BC
• Lorgis Ignacio Jimenez Perez, MD
• Brandy Michelle Koch, FNP
• Kortni Lampe, PHARMD
• Hugh Urie Mackenzie IV, FNP
• Makaria Kenzie McMullen, FNP
• Kyungjun Min, PT, DPT, CSCS

• Internal Medicine Physician in Crystal Cty, MO
• Providers in Crystal Cty, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.