Individual provider Active NPI

Susy Alias, MD

  • Physical Medicine & Rehabilitation Physician
  • Saint Louis, MO
National Provider Identifier
1750332680
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
R9895 Issued in MO
Practice address
1 Jefferson Barracks Dr
Jefferson Barracks, VA
Saint Louis, MO 63125-4181
Phone
(314) 894-6629
Fax
(314) 845-5077
NPI assigned
May 15, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X R9895 MO
Physical Medicine & Rehabilitation Physician 208100000X R9895 MO Primary

Addresses

Primary practice location

1 Jefferson Barracks Dr
Jefferson Barracks, VA
Saint Louis, MO 63125-4181

Mailing address

1 JB Drive
Jefferson Barracks
St, Louis, MO 63125
Phone (314) 894-6629

Other names 1

  • Dr. Susy Alias Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R9895MOMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750332680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JB DRIVE",
            "address_2": "JEFFERSON BARRACKS",
            "city": "ST, LOUIS",
            "state": "MO",
            "postal_code": "63125",
            "telephone_number": "314-894-6629",
            "fax_number": "314-845-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JEFFERSON BARRACKS DR",
            "address_2": "JEFFERSON BARRACKS, VA",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254181",
            "telephone_number": "314-894-6629",
            "fax_number": "314-845-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIAS",
        "first_name": "SUSY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MO",
            "license": "R9895",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "R9895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSY",
            "last_name": "ALIAS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.