Individual provider Active NPI

Alexandra Marie Edwards, M.D.

  • Critical Care Medicine (Obstetrics & Gynecology) Physician
  • Saint Louis, MO
National Provider Identifier
1235498114
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VC0200X
License
2017013100 Issued in MO
Practice address
621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265
Phone
(314) 991-5000
NPI assigned
May 11, 2012
Last updated
Oct 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R2916 KY
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X 2017013100 MO Primary
Maternal & Fetal Medicine Physician 207VM0101X 2017013100 MO

Addresses

Primary practice location

621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265

Mailing address

621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265
Phone (314) 991-5000

Other practice location 1

800 Rose Street
HQ-101
Lexington, KY 40536-0293
Phone (816) 824-9854

Other practice location 2

6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 796-8000

Other practice location 3

621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265
Phone (314) 991-5000

Other practice location 4

6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 768-8000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170628002073 MO Practitioner - Obstetrics/GynecologyPractitioner - Critical Care (Intensivists) 5799063236 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Critical Care (Intensivists)
Education
University of Missouri, Kansas City, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Maternal Fetal Medicine, LLCGroup PAC ID 5294000485, 16 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
2007B
Saint Louis, MO 63141-8265
Phone (314) 951-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2916KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Missouri, Inc CurrentSince Feb 5, 2018 Accepting new patients
Mercy Hospitals East Communities CurrentSince Aug 3, 2020 Accepting new patients
Mercy Hospitals East Communities CurrentSince Aug 3, 2020 Accepting new patients
Mercy Clinic Maternal Fetal Medicine LLC Maternal & Fetal Medicine CurrentSince Aug 3, 2020 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

10004 Kennerly Rd
Ste 395B
Saint Louis, MO 63128
Phone (314) 849-3500

10010 Kennerly Rd
Ste 4034
Saint Louis, MO 63128
Phone (314) 991-5000

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

621 S New Ballas Rd
Ste 20
Saint Louis, MO 63141
Phone (314) 951-5000

621 S New Ballas Rd
Ste 2007B
Saint Louis, MO 63141
Phone (314) 951-5000

621 S New Ballas Rd
Ste 3015
Saint Louis, MO 63141
Phone (314) 251-2900

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

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.

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1235498114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 2007B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418265",
            "telephone_number": "314-991-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 2007B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418265",
            "telephone_number": "314-991-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose Street",
            "address_2": "HQ-101",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360293",
            "country_code": "US",
            "telephone_number": "816-824-9854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6420 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "MO",
            "postal_code": "631171811",
            "country_code": "US",
            "telephone_number": "314-796-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 S New Ballas Rd Ste 2007B",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418265",
            "country_code": "US",
            "telephone_number": "314-991-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6420 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "MO",
            "postal_code": "631171811",
            "country_code": "US",
            "telephone_number": "314-768-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "R2916",
            "primary": false
        },
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "MO",
            "license": "2017013100",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MO",
            "license": "2017013100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.