Individual provider Active NPI

Alexandra E Kidd, M.D.

  • Gynecology Physician
  • Scottsdale, AZ
National Provider Identifier
1184717845
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
33892 Issued in AZ
Practice address
10210 N 92ND St
Suite 201
Scottsdale, AZ 85258-4509
Phone
(480) 291-6620
Fax
(480) 219-2213
NPI assigned
Oct 2, 2006
Last updated
Nov 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 33892 AZ Primary

Addresses

Primary practice location

10210 N 92ND St
Suite 201
Scottsdale, AZ 85258-4509

Mailing address

10210 N 92ND St
Suite 201
Scottsdale, AZ 85258-4509
Phone (480) 291-6620

Other identifiers 2

IdentifierTypeStateIssuer
884074MedicaidAZ
AZ0765120OtherAZBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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
I20041123000443 TX Practitioner - Obstetrics/Gynecology 5395700991 Reassigns benefits to 1 organization
I20110504000148 AZ Practitioner - Obstetrics/Gynecology 5395700991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kelly H Roy MD PCGroup PAC ID 3476526724, 28 clinicians

Practice addresses (Care Compare)

9201 E Mountain View Rd
Suite 210
Scottsdale, AZ 85258-5172
Phone (602) 358-8588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.66 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33892AZMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 1, 2001 Accepting new patients
Kelly H. Roy, MD, PC Gynecology CurrentSince Mar 31, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 1, 2001 Accepting new patients
Gila River Health Care Past Accepting new patients

Locations

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

48203 W Farrell Rd
Maricopa, AZ 85139
Phone (520) 568-3881

1151 N Gilbert Rd
Mesa, AZ 85203
Phone (480) 469-3891

10585 N Tatum Blvd
Ste D130
Paradise Vly, AZ 85253
Phone (602) 559-9966

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

2222 E Highland Ave
Ste 205
Phoenix, AZ 85016
Phone (600) 235-8588

1008 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 258-7003

1008 E McDowell Rd
Ste A
Phoenix, AZ 85006
Phone (602) 241-1944

702 E Bell Rd
Ste 119
Phoenix, AZ 85022
Phone (600) 358-8588

3105 Clearwater Dr
Prescott, AZ 86305
Phone (928) 776-4349

9201 E Mountain View Rd
Ste 210
Scottsdale, AZ 85258

10210 N 92nd St
Ste 201
Scottsdale, AZ 85258
Phone (480) 291-6600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11008/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2541/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEGCAD/Endpoint/DEGCAD
  • Direct secure messaging: alexandra.kidd.1@2541.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1184717845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST",
            "address_2": "SUITE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584509",
            "telephone_number": "480-291-6620",
            "fax_number": "480-219-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST",
            "address_2": "SUITE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584509",
            "telephone_number": "480-291-6620",
            "fax_number": "480-219-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "ALEXANDRA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "33892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884074",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0765120",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.