NPIMap

Individual provider Active NPI

Alexander Rudoi, MD

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1740254374
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MO100186 Issued in MO
Practice address
4346 Loughborough Ave
Saint Louis, MO 63116-2104
Phone
(314) 481-7030
Fax
(314) 481-7120
NPI assigned
Feb 13, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MO100186 MO Primary

Addresses

Primary practice location

4346 Loughborough Ave
Saint Louis, MO 63116-2104

Mailing address

4346 Loughborough Ave
Saint Louis, MO 63116-2104
Phone (314) 481-7030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040710000172 MO Practitioner - Internal Medicine 2961480504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians
Aging Well Health Care, LLCGroup PAC ID 1153232038, 236 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

6435 Chippewa St
Saint Louis, MO 63109-2104
Phone (314) 366-3000

7212 Balson Ave
Saint Louis, MO 63130-3001

9338 Olive Blvd
Suite 100B
Saint Louis, MO 63132-3248
Phone (314) 481-7030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MO100186MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine, LLC Internal Medicine CurrentSince Aug 1, 2000 Accepting new patients
Mercy Clinic East Communities Internal Medicine CurrentSince Mar 3, 2025 Accepting new patients
Delmar Gardens West Operating, LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

10420 Old Olive Street Rd
Ste 202
Saint Louis, MO 63141
Phone (314) 481-7030

4346 Loughborough Ave
Saint Louis, MO 63116
Phone (314) 481-7030

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

7345 Watson Rd
Saint Louis, MO 63119
Phone (314) 633-8558

Interoperability endpoints

  • Direct secure messaging: arudoi2570@direct-ehr-ssmhc.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c858c747-c492-4c80-b098-823abe48bb82/

Organizations & group practices 6

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 8

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1740254374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4346 LOUGHBOROUGH AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162104",
            "telephone_number": "314-481-7030",
            "fax_number": "314-481-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4346 LOUGHBOROUGH AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162104",
            "telephone_number": "314-481-7030",
            "fax_number": "314-481-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOI",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MO100186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.