Active NPI
Alexander Rudoi, MD
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MO100186
- Practice address
- 4346 Loughborough Ave
Saint Louis, MO 63116-2104 - Phone
- (314) 481-7030
- Fax
- (314) 481-7120
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB2750 | Other | MO | MEDCIARE RR |
| 203967302 | Medicaid | MO |
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
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Mercy Home Health
- Pathways Hospice and Palliative Care
- Mercy Hospital St Louis
- Mercy Hospital South
- Missouri Baptist Medical Center
- St Lukes Hospital
- Delmar Gardens West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MO100186 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine, LLC | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic East Communities | Internal Medicine | Current | Accepting new patients |
| Delmar Gardens West Operating, LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
4346 Loughborough Ave
Saint Louis, MO 63116
Phone (314) 481-7030
10420 Old Olive Street Rd
Ste 202
Saint Louis, MO 63141
Phone (314) 481-7030
7345 Watson Rd
Saint Louis, MO 63119
Phone (314) 633-8558
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/c858c747-c492-4c80-b098-823abe48bb82/
- arudoi2570@direct-ehr-ssmhc.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1235389859
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Home Health Agency
- Saint Louis, MO
- NPI 1215936588
-
- Skilled Nursing Facility
- Town & Country, MO
- NPI 1043206584
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Chesterfield, MO
- NPI 1447245360
-
- Skilled Nursing Facility
- Town & Country, MO
- NPI 1043206584
Nursing home
-
- Home Health Agency
- Saint Louis, MO
- NPI 1154407112
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCIARE RR",
"identifier": "DB2750",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203967302",
"state": "MO"
}
],
"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 13, 2007; 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.