Individual provider Active NPI

Alexandra Georges Jennings, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1972619633
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2005022916 Issued in MO
Practice address
615 S New Ballas Rd
Department of Radiology
Saint Louis, MO 63141-8221
Phone
(314) 251-6031
Fax
(314) 251-6343
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2005022916 MO Primary

Addresses

Primary practice location

615 S New Ballas Rd
Department of Radiology
Saint Louis, MO 63141-8221

Mailing address

14 Country Aire Dr
Saint Louis, MO 63131-2318
Phone (314) 348-8287

Other identifiers 1

IdentifierTypeStateIssuer
1972619633MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL, PA, KY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20080626000012 MO Practitioner - Diagnostic Radiology 1355412941 Reassigns benefits to 3 organizations
I20240628002622 FL Practitioner - Diagnostic Radiology 1355412941 Reassigns benefits to 2 organizations
I20240909000198 PA Practitioner - Diagnostic Radiology 1355412941 Reassigns benefits to 1 organization
I20250910004126 KY Practitioner - Diagnostic Radiology 1355412941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Columbia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians
QMG, LLCGroup PAC ID 2961590435, 30 clinicians
Impression Imaging LLCGroup PAC ID 1759547979, 34 clinicians

Practice addresses (Care Compare)

1 Nolte Dr
Kittanning, PA 16201-7111
Phone (724) 543-8500

10618 Deerwood Park Blvd
Suite 4
Jacksonville, FL 32256-8198
Phone (904) 453-8995

14 Country Aire Dr
Saint Louis, MO 63131-2318
Phone (843) 237-3164

20803 Biscayne Blvd
Suite 103
Aventura, FL 33180-1429
Phone (786) 668-2525

310 W 41St St
Miami Beach, FL 33140-3603
Phone (305) 532-7460

3111 N University Dr
Suite 115
Coral Springs, FL 33065-5049
Phone (954) 580-2780

4515 Wiles Rd
Suite 101
Coconut Creek, FL 33073-3414
Phone (954) 686-2559

6853 SW 18TH St
Suite 101
Boca Raton, FL 33433-7056
Phone (561) 473-4610

7180 N University Dr
Tamarac, FL 33321-2916
Phone (954) 580-2780

9050 Pines Blvd
Suite 170
Pembroke Pines, FL 33024-6400
Phone (954) 431-7627

Hospital & facility affiliations

  • Heritage Valley Sewickley Hospital, Sewickley, PA, CCN 390037
  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036
  • Community Memorial Hospital Hospital, South Hill, VA, CCN 490098
  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59985KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Community Hospital Diagnostic Radiology CurrentSince Aug 5, 2025 Accepting new patients
Impression Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Nov 6, 2023 Accepting new patients
Salem Community Hospital Diagnostic Radiology CurrentSince Aug 5, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 27, 2025 Accepting new patients
QMG, LLC Diagnostic Radiology CurrentSince Apr 15, 2024 Accepting new patients
Prodoctors Medical PLLC Current Accepting new patients
Emerson Road Imaging Center LLC CurrentSince Jan 1, 2023 Accepting new patients
Diagnostic Imaging Associates LTD Diagnostic Radiology CurrentSince Apr 1, 2010 Accepting new patients
University of Louisville Physicians, Inc. Diagnostic Radiology CurrentSince Aug 27, 2025 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Apr 8, 2025 Accepting new patients
Professional Imaging Columbia, LLC Diagnostic Radiology CurrentSince Apr 6, 2026 Accepting new patients
West County Radiological Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations

20803 Biscayne Blvd
Ste 10
Aventura, FL 33180
Phone (786) 668-2525

210 S Federal Hwy
Ste 403
Hollywood, FL 33020
Phone (954) 929-3449

9050 Pines Blvd
Ste 170
Pembroke Pines, FL 33024
Phone (954) 431-7627

7180 N University Dr
Tamarac, FL 33321
Phone (954) 580-2780

7752 Solution Ctr
Chicago, IL 60677

8607 E US Highway 36
Ste 200
Avon, IN 46123
Phone (317) 569-5855

3802 W Industrial Blvd
Ste 4
Bloomington, IN 47403
Phone (812) 331-7727

10206 Lantern Rd
Fishers, IN 46037
Phone (317) 598-1133

521 E County Line Rd
Ste D
Greenwood, IN 46143
Phone (317) 882-9422

1250 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 899-7980

7151 Marsh Rd
#100
Indianapolis, IN 46278
Phone (317) 580-5880

3738 Landmark Dr
Ste D
Lafayette, IN 47905
Phone (765) 449-7984

4313 S 7th St
Terre Haute, IN 47802
Phone (812) 234-0555

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1972619633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 COUNTRY AIRE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312318",
            "telephone_number": "314-348-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-6031",
            "fax_number": "314-251-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "ALEXANDRA",
        "middle_name": "GEORGES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2005022916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972619633",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.