Alexandra Merritt Kidd

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101272248 Issued in VA

Practice address

3990 John R St
7 Brush N Mailbox 165
Detroit, MI 48201-2018

Phone

(808) 283-1436

NPI assigned

Mar 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexandra.matthews.1@8042.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

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.

• Clinch Valley Physicians Associates LLC

  dba Clinch Valley Physicians

  • Cardiovascular Disease Physician
  • Richlands, VA
  • NPI 1104265214

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Dominion Women's Health, Inc.

  • Obstetrics & Gynecology Physician
  • Mechanicsville, VA
  • NPI 1932289592
  Medicare reassignment NPD
• Mid-Atlantic Womens Care PLC

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
  • NPI 1699365072
  Medicare reassignment NPD
• Obhg Virginia, LLC

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
  • NPI 1972807394
  Medicare reassignment NPD
• Clinch Valley Physicians Associates LLC

  dba Clinch Valley Physicians

  • Rural Health Clinic/Center
  • Cedar Bluff, VA
  • NPI 1821339540
  NPD

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1790217602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 PINEY POINT RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522615",
            "telephone_number": "808-283-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 JOHN R ST",
            "address_2": "7 BRUSH N MAILBOX 165",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012018",
            "telephone_number": "808-283-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "ALEXANDRA",
        "middle_name": "MERRITT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101272248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevil Khurana
• Muhammad Siddique Khurram, MD
• Amna Nadeem Kiani, M.D.
• Brian Michael Kibby, AU.D.
• Onkemetse Phillip Kibitwe, PHARMD
• Dora Kidd, LBSW
• Marian Annice Kidd, MS
• Sherena Kidd
• Valerie Kidd
• Kidds Comfort Transportation Services,LLC

• Obstetrics & Gynecology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.