Active NPI
Alexa Arastoo, DO
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- BP10061749
- Practice address
- 1717 Biddle St
Saint Louis, MO 63106-3454 - Phone
- (314) 814-8700
- Fax
- (314) 898-1773
- NPI assigned
- Jul 21, 2017
- Last updated
- Nov 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BP10061749 | TX | Primary |
Addresses
Primary practice location
1717 Biddle St
Saint Louis, MO 63106-3454
Mailing address
1717 Biddle St
Saint Louis, MO 63106-3454
Phone (314) 814-8700
Other practice location 1
1102 Barclay St
San Antonio, TX 78207-7161
Phone (210) 233-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 668516 | Other | TX | TEXAS MEDICAL BOARD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1717 Biddle St
Saint Louis, MO 63106-3454
Phone 31481485318531
2220 Lemp Ave
Saint Louis, MO 63104-2700
Phone (314) 814-8700
3930 S Broadway
Saint Louis, MO 63118-4626
Phone (314) 814-8700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10061749 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinia Healthcare | Past | Accepting new patients |
Interoperability endpoints
- alexa.arastoo.p1@direct.affiniahealthcare.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1902816077
-
- Dentist
- Saint Louis, MO
- NPI 1346634003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1245753284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 BIDDLE ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631063454",
"telephone_number": "314-814-8700",
"fax_number": "314-898-1773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 BIDDLE ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631063454",
"telephone_number": "314-814-8700",
"fax_number": "314-898-1773"
}
],
"practiceLocations": [
{
"address_1": "1102 Barclay St",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782077161",
"country_code": "US",
"telephone_number": "210-233-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARASTOO",
"first_name": "ALEXA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP10061749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "668516",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.