DR. ALEXANDRA MEDORO M.D.
NPI 1356735518
Pediatrics - Neonatal-Perinatal Medicine in Philadelphia, PA

Q: What is Alexandra Medoro's NPI number?

The NPI number for Alexandra Medoro is 1356735518. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Q: What is Alexandra Medoro's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Medoro was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since March 26, 2015PECOS Enrolled

3400 SPRUCE STREET, 8 RAVDIN, PHILADELPHIA, PA 19104(215) 662-3228 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Mar 4, 2022, Dec 7, 2021 and 2 more (5 updates tracked since 2021).

On this page

About Dr. Alexandra Medoro M.d. NPPES

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

DR. ALEXANDRA MEDORO M.D. (NPI 1356735518) is an individual neonatal-perinatal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD481894) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356735518

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDR. ALEXANDRA MEDOROCredential: M.D.

Location Address3400 SPRUCE STREET, 8 RAVDINPhiladelphia, PA 19104-4206

Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (440) 821-5835

Phone(215) 662-3228

Sole ProprietorNo

Enumeration DateMarch 26, 2015

Last NPPES UpdateSeptember 12, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2025

✔ NPI 1356735518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in PA · MD481894

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License MD481894 (PA)

3400 SPRUCE STREET, Philadelphia, PA 19104

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Other Identifiers 1

Medicaid0438168OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexandra Medoro M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

SARAH KUMAR M.D.

Anesthesiology (Critical Care Medicine)

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

RYAN MCCLINTOCK MD

Radiology (Diagnostic Radiology)

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

ADRIAN W ONG MD

Surgery (Surgical Critical Care)

3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7320

MATHEW N BESHARA MD

Obstetrics & Gynecology

3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6035

JILL E LANGER MD

Radiology (Diagnostic Radiology)

3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7012

BERNADETTE C WHEELER MD

Obstetrics & Gynecology

3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2730

EDWARD T DICKINSON MD

Emergency Medicine

3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6698

WENDY RACHEL GALPERN MD, PHD

Psychiatry & Neurology (Neurology)

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2219

DR. HARI AMIN M.D.

Emergency Medicine

3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6698

BRIANNA ELIZABETH REARDON CRNP

Nurse Practitioner (Family)

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2428

VAUNIQUE BROWN CRNA

Nurse Anesthetist, Certified Registered

3400 SPRUCE STREET, DULLES BLDG, SUITE 680
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

LEE R CARRASCO MD DDS

Oral & Maxillofacial Surgery

3400 SPRUCE STREET, 5 WHITE BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3580

DR. VIVIANNA MAIA VAN DEERLIN MD

Pathology (Clinical Pathology/Laboratory Medicine)

3400 SPRUCE STREET, 7.103 FOUNDERS PAVILLION
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6550

GARY KAO MD

Radiology (Radiation Oncology)

3400 SPRUCE STREET, 2 DONNER BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2428

ARTHUR F WHEREAT MD

Internal Medicine

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6779

DR. OSCAR JONATHAN LOWY MITCHELL MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE STREET, 3 RAVDIN BLDG. STE. F
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3202

DR. ARTHUR JAMES JARAE POPE II MD, PHD

Emergency Medicine

3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6698

DR. ROBERT T ADELSON MD

Otolaryngology

3400 SPRUCE STREET, 5 SILVERSTEIN BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2777

KRISTEN LYNN DONAHOO M.S.

Genetic Counselor, MS

3400 SPRUCE STREET, HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - 5 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3297

JOHN YOUNGKEUN LEE MD

Neurological Surgery

3400 SPRUCE STREET, 3 SILVERSTEIN BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3487

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 Medoro's NPI number?

The NPI number for Alexandra Medoro is 1356735518. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Alexandra Medoro located?

Alexandra Medoro practices at 3400 Spruce Street 8 Ravdin, Philadelphia, PA 19104. The listed phone number is (215) 662-3228.

What is Alexandra Medoro's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Alexandra Medoro enrolled in Medicare?

Yes. Alexandra Medoro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Medoro was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.