John G. Alexander, MD
Individual provider Active NPI Anesthesiology Physician · Saint Louis, MO
NPI 1477541100 · NPPES record last updated Aug 2, 2016
Key facts
- NPI
- 1477541100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 2000148561 (MO)
- Practice address
- 6420 Clayton Rd
Saint Louis, MO 63117-1811 - Phone
- (314) 768-8442
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Texas Medical School at San Antonio, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health of Northern Minnesota
Practice addresses (Care Compare)
1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
Hospital & facility affiliations
- Sanford Bemidji Medical Center
- Spectrum Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MO, MN, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050405000183 | MO | Practitioner - Anesthesiology | 1658328489 | Reassigns benefits to 3 organizations |
| I20221006003362 | MN | Practitioner - Anesthesiology | 1658328489 | Reassigns benefits to 1 organization |
| I20240109001151 | AL | Practitioner - Anesthesiology | 1658328489 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000148561 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Midwest Anesthesia Associates, P.C. | Current |
Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Anesthesiology | Current |
Accepting new patients |
| Midwest Anesthesia Providers S.C | Anesthesiology | Current |
Accepting new patients |
| USA Health Anesthesia Billing Services, LLC | Anesthesiology | Current |
Accepting new patients |
| Deaconess Memorial Medical Center Inc | Past | Accepting new patients |
Locations
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
11125 Dunn Rd
Ste 100
Saint Louis, MO 63136
Phone (314) 355-5597
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2000148561 | MO | Yes |
Addresses
Primary practice location
6420 Clayton Rd
Saint Louis, MO 63117-1811
Mailing address
6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 768-8442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204982912 | Medicaid | MO |
Other providers in Saint Louis, MO
- Jennifer Marie Alexander-Brett
- Andrea Alexander
- Bridgett Nicole Alexander
- Eboni Alexander
- Helen J Alexander
- Nicole Danielle Alexander
- Roshonda Alexander
- Samantha Alexander
- Shauncia Renee Alexander
- Alexian Brothers Comm SVCS Pharmacy
All providers in Saint Louis, MO · Anesthesiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.