Individual provider Active NPI

Alexandra Mary Stough, MD

  • Family Medicine Physician
  • Westport, CT
National Provider Identifier
1790273068
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83547 Issued in CT
Practice address
327 Riverside Ave
Westport, CT 06880-4821
Phone
(203) 221-3030
Fax
(203) 221-3131
NPI assigned
Apr 23, 2018
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD473217 PA
Family Medicine Physician 207Q00000X 83547 CT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

327 Riverside Ave
Westport, CT 06880-4821

Mailing address

327 Riverside Ave
Westport, CT 06880-4821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210507001267 PA Practitioner - Family Practice 7315370194 Reassigns benefits to 1 organization
I20260612000710 CT Practitioner - Family Practice 7315370194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

1528 Walnut St
Suite 950
Philadelphia, PA 19102-3628
Phone (856) 872-7055

327 Riverside Ave
Westport, CT 06880-4821
Phone (203) 221-3030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83547CTMDFamily Medicine Physician
MD473217PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Jun 1, 2021 Accepting new patients
Advocare, LLC Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Northeast Medical Group, Inc. PastSince Jun 8, 2026 Accepting new patients

Locations

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

Organizations & group practices 3

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 3

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1790273068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 RIVERSIDE AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 RIVERSIDE AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804821",
            "telephone_number": "203-221-3030",
            "fax_number": "203-221-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUGH",
        "first_name": "ALEXANDRA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD473217",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "83547",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.