Alixandra Lee Riddering, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301511162 Issued in MI

Practice address

1266 E Sherman Blvd
Muskegon, MI 49444-1847

Phone

(231) 739-9009

Fax

(231) 733-0566

NPI assigned

Mar 22, 2019

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Ophthalmology

Education

University of Michigan Medical School, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoreline Ophthalmology PLLCGroup PAC ID 3678537628, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066

Merit-based Incentive Payment System (MIPS)

Final score

80.4 of 100Reported as group

Quality

89.51

Promoting interoperability

100

Improvement activities

40

Cost

45.15

Merit-based Incentive Payment System (MIPS)

Final score

84.2 of 100Reported as group

Quality

71.6

Promoting interoperability

100

Improvement activities

40

Cost

75.75

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ariddering@shorelinevision.imwdirect.com
• Direct secure messaging: avanbelkum540370@direct.hfhs.org

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.

• Shoreline Ophthalmology, PLLC

  • Ophthalmology Physician
  • Muskegon, MI
  • NPI 1679643670
  Medicare reassignment Care Compare group NPD
• Shoreline Ophthalmology, PLLC

  • Optometrist
  • North Muskegon, MI
  • NPI 1194910307
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health Partners

  dba Mercy Health Muskegon

  • General Acute Care Hospital
  • Muskegon, MI
  • NPI 1831132133
  Care Compare affiliation

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1801356076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441847",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Center St",
            "address_purpose": "LOCATION",
            "city": "N Muskegon",
            "state": "MI",
            "postal_code": "494453104",
            "country_code": "US",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 W Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "MI",
            "postal_code": "494121486",
            "country_code": "US",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3375 McCracken St",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494413670",
            "country_code": "US",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 E Savidge St",
            "address_purpose": "LOCATION",
            "city": "Spring Lake",
            "state": "MI",
            "postal_code": "494561956",
            "country_code": "US",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1445 Sheldon Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494172479",
            "country_code": "US",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDERING",
        "first_name": "ALIXANDRA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301511162",
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "MO",
            "license": "2023016704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4901 Forest Park Ave",
            "address_2": "Dept Ophthalmology, 6th Fl",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631081495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valerie Ann Richman
• Ladonna Richmond
• Terry Richmond, LPN
• Rick Stanton Enterprises Incorporated Dba Lauren Taylor Eyewear (Lauren Taylor Eyewear)
• Justine Riddell, MD
• Todd James Riker, OD
• Shannon Nichole Riley, LLPC
• Stefanie Anne Riley
• Kelly Rimbey, MS, CCC-SLP
• Andrea Michelle Rinehart

• Ophthalmology Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.
• 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.

Verify at the official NPI Registry.