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ALEXANDRA MARIE RISTOW M.D.
NPI 1114361839
Internal Medicine in Bala Cynwyd, PA

Active since April 24, 2013PECOS EnrolledAccepts Medicare Assignment
150 MONUMENT RD STE 500, BALA CYNWYD, PA 19004(855) 478-8208 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2023, Oct 6, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Alexandra Marie Ristow M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA MARIE RISTOW M.D. (NPI 1114361839) is an individual internal medicine provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (MD474749) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2013).

NPPES Registry Identity

NPI1114361839
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALEXANDRA MARIE RISTOWCredential: M.D.
Location Address150 MONUMENT RD STE 500Bala Cynwyd, PA 19004-1701
Mailing Address150 Monument Rd Ste 500Bala Cynwyd, PA 19004-1701 · (855) 478-8208 · Fax (888) 506-9523
Phone(855) 478-8208
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2013
Enumeration DateApril 24, 2013
Last NPPES UpdateOctober 11, 20234 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1114361839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD474749✔ Licensed in FL · ME131321
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
150 MONUMENT RD STE 500, Bala Cynwyd, PA 19004
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandra Marie Ristow M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113210105
PECOS Enrollment IDI20230524000512
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KATHRYN SUSAN MACEYKO CRNP
Nurse Practitioner (Family)
150 MONUMENT RD STE 500
BALA CYNWYD, PA 19004
Montgomery County (855) 478-8208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Ristow's NPI number?

The NPI number for Alexandra Ristow is 1114361839. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Alexandra Ristow located?

Alexandra Ristow practices at 150 Monument Rd Ste 500, Bala Cynwyd, PA 19004. The listed phone number is (855) 478-8208.

What is Alexandra Ristow's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alexandra Ristow enrolled in Medicare?

Yes. Alexandra Ristow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alexandra Ristow was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.