Active NPI
Alexandra Georges Jennings, MD
- Diagnostic Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2005022916
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972619633 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, FL, PA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Heritage Valley Beaver
- Community Memorial Hospital
- Upmc Williamsport
- Wayne Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59985 | KY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Community Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Impression Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Foundation Radiology Group PC | Diagnostic Radiology | Current | Accepting new patients |
| Salem Community Hospital | Diagnostic Radiology | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| QMG, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Prodoctors Medical PLLC | Current | Accepting new patients | |
| Emerson Road Imaging Center LLC | Current | Accepting new patients | |
| Diagnostic Imaging Associates LTD | Diagnostic Radiology | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Professional Imaging Columbia, LLC | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Tamarac, FL
- NPI 1780941864
-
- Diagnostic Radiology Physician
- Chesterfield, MO
- NPI 1033142146
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Diagnostic Radiology, MO
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Radiology Clinic/Center
- Saint Louis, MO
- NPI 1851632566
-
- Radiology Clinic/Center
- Columbia, MO
- NPI 1467322198
Diagnostic Radiology
-
- Family Medicine Physician
- Fort Lauderdale, FL
- NPI 1295498343
-
- Diagnostic Radiology Physician
- Columbiana, OH
- NPI 1457127771
-
- Diagnostic Radiology Physician
- Canfield, OH
- NPI 1518733856
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Hill, VA
- NPI 1336103738
-
- General Acute Care Hospital
- Williamsport, PA
- NPI 1609801976
-
- Psychiatric Hospital Unit
- Williamsport, PA
- NPI 1649746488
-
- General Acute Care Hospital
- Williamsport, PA
- NPI 1740365097
-
- General Acute Care Hospital
- Beaver, PA
- NPI 1063422053
-
- General Acute Care Hospital
- Sewickley, PA
- NPI 1588770416
-
- General Acute Care Hospital
- MC Kees Rocks, PA
- NPI 1073598439
-
- General Acute Care Hospital
- Beaver Falls, PA
- NPI 1306989983
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.