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ALEXANDRA MERRITT KIDD
NPI 1790217602
Obstetrics & Gynecology in Detroit, MI

Active since March 30, 2017PECOS Enrolled
3990 JOHN R ST, 7 BRUSH N MAILBOX 165, DETROIT, MI 48201(808) 283-1436 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 13, 2024, Feb 14, 2023, Mar 30, 2017 (3 updates tracked since 2017).

About Alexandra Merritt Kidd NPPES

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

ALEXANDRA MERRITT KIDD (NPI 1790217602) is an individual obstetrics & gynecology provider in Detroit, Michigan, licensed in Virginia (0101272248) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790217602
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameALEXANDRA MERRITT KIDD
Location Address3990 JOHN R ST, 7 BRUSH N MAILBOX 165Detroit, MI 48201-2018
Mailing Address649 Piney Point RdVirginia Beach, VA 23452-2615 · (808) 283-1436
Phone(808) 283-1436
Sole ProprietorNo
Enumeration DateMarch 30, 2017
Last NPPES UpdateJune 13, 20243 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1790217602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0101272248
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3990 JOHN R ST, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Merritt Kidd 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Alexandra Kidd reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinch Valley Physicians Associates LLC
376 mi
Cardiovascular Disease
1 CLINIC DR, CLAYPOOL HILL
Richlands, VA 24641
  • Reassigned Medicare billing, Virginia enrollment
  • 52 clinicians in this Medicare group
NPI 1104265214 (276) 963-2791
Obhg Virginia, LLC
445 mi
Obstetrics & Gynecology
13700 ST FRANCIS BLVD, SUITE 100
Midlothian, VA 23114
  • Reassigned Medicare billing, Virginia enrollment
  • 315 clinicians in this Medicare group
NPI 1972807394 (800) 967-2289
Dominion Women's Health, Inc.
446 mi
Obstetrics & Gynecology
8239 MEADOWBRIDGE RD
Mechanicsville, VA 23116
  • Reassigned Medicare billing, Virginia enrollment
  • 63 clinicians in this Medicare group
NPI 1932289592 (804) 730-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 20

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

KIMBERLY DAWN HARRIS CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8521
CAROLINE L TALBERT CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600
CHISAOKWU DURU
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7233
MR. MOHAMED IBRAHIM BAZZI
Occupational Therapist
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (810) 333-1822
DR. SAMIR F FULEIHAN M.D.
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8521
DR. KAMAL K NANGIA
Emergency Medicine
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8040
TODD E HAMILTON CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600
MITCHELL R BRADLEY CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600

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 Kidd's NPI number?

The NPI number for Alexandra Kidd is 1790217602. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Alexandra Kidd located?

Alexandra Kidd practices at 3990 John R St 7 Brush N Mailbox 165, Detroit, MI 48201. The listed phone number is (808) 283-1436.

What is Alexandra Kidd's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Alexandra Kidd enrolled in Medicare?

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

Which organizations bill Medicare for Alexandra Kidd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Kidd reassigns Medicare benefits to 3 organizations: Clinch Valley Physicians Associates LLC (Richlands, VA), Obhg Virginia, LLC (Midlothian, VA) and Dominion Women's Health, Inc. (Mechanicsville, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandra Kidd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexandra Kidd was last updated on June 13, 2024. 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.