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DR. ALEX EDUARDO CALDERON RODRIGUEZ M.D.
NPI 1164040077
Student in an Organized Health Care Education/Training Program in St Louis, MO

Active since July 07, 2020PECOS EnrolledAccepts Medicare Assignment
6420 CLAYTON RD, DEPARTMENT OF INTERNAL MEDICINE, ST LOUIS, MO 63117(314) 768-8778(314) 768-7101 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, May 22, 2025, Jun 21, 2023 and 3 more (6 updates tracked since 2020).

About Dr. Alex Eduardo Calderon Rodriguez M.d. NPPES

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

DR. ALEX EDUARDO CALDERON RODRIGUEZ M.D. (NPI 1164040077) is an individual student in an organized health care education/training program in St Louis, Missouri and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Eastern Oklahoma Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164040077
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ALEX EDUARDO CALDERON RODRIGUEZCredential: M.D.
Location Address6420 CLAYTON RD, DEPARTMENT OF INTERNAL MEDICINESt Louis, MO 63117
Mailing Address6420 Clayton Rd, Department Of Internal MedicineSt Louis, MO 63117 · (314) 768-8778 · Fax (314) 768-7101
Phone(314) 768-8778
Fax(314) 768-7101
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 7, 2020
Last NPPES UpdateApril 5, 20226 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1164040077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6420 CLAYTON RD, St Louis, MO 63117
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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

Dr. Alex Eduardo Calderon Rodriguez 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 ID143729202
PECOS Enrollment IDI20250815002316
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eastern Oklahoma Medical Center

Critical Access Hospitals · Poteau, OK
OwnershipGovernment - Local
CMS Certification Number371337
Location105 Wall StreetPoteau, OK 74953 · Le Flore County
Emergency services

Other Providers at the Same Location NPPES 20

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

KRISTA HARRY PHARMD
Pharmacist
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8341
ANDERSON WEST JR. REGISTERED NURSE
Registered Nurse
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8644
VICTORIA CERNETICH MS, RD, LD
Dietitian, Registered
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8891
DR. SHOUYING DU M.D
Pathology (Anatomic Pathology & Clinical Pathology)
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 344-7525
AUDREY KATE DOMBROWSKI MS, RD, LD
Dietitian, Registered
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8891
MARISA CLEMENTE
Occupational Therapist
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8000
LAUREN VALERIA EVELTI
Student in an Organized Health Care Education/Training Program
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8000
PAMELA HAMPTON CRNA
Nurse Anesthetist, Certified Registered
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8442

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 Alex Eduardo Calderon Rodriguez's NPI number?

The NPI number for Alex Eduardo Calderon Rodriguez is 1164040077. It was assigned to this individual provider in the NPPES registry on July 7, 2020.

Where is Alex Eduardo Calderon Rodriguez located?

Alex Eduardo Calderon Rodriguez practices at 6420 Clayton Rd Department Of Internal Medicine, St Louis, MO 63117. The listed phone number is (314) 768-8778.

What is Alex Eduardo Calderon Rodriguez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alex Eduardo Calderon Rodriguez enrolled in Medicare?

Yes. Alex Eduardo Calderon Rodriguez 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.

Is Alex Eduardo Calderon Rodriguez affiliated with any hospitals?

According to CMS data, Alex Eduardo Calderon Rodriguez is affiliated with Eastern Oklahoma Medical Center.

When was this NPI record last updated?

The NPPES record for Alex Eduardo Calderon Rodriguez was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.