Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandra Marie Ristow, MD

Individual provider Internal Medicine Physician · NPI 1114361839

Alexandra Marie Ristow, MD is an Internal Medicine in Bala Cynwyd, Pennsylvania. Graduated from Yale University School of Medicine in 2013, 13 years ago. Practices with Patina Medical Group, PC, a 7-clinician group and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
13
Trained at
Yale University School of Medicine
Licensed in
FL, PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

150 Monument Rd Ste 500
Bala Cynwyd, PA 19004-1701
Phone: (855) 478-8208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD474749 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME131321 (FL)

Record details

NPI number1114361839
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2013
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Patina Medical Group, Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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