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

Q: 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.

Q: What is Alexandra Kidd's specialty?

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

Q: 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.

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: August 09, 2026.

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

On this page

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

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

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