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

Dr. Alexander K Mammen, MD

Individual provider Family Medicine Physician · NPI 1609874734

Dr. Alexander K Mammen, MD is a Family Practice in Saint Louis, Missouri. Qualified in 1983, 43 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
43
Licensed in
MO
In the registry since
2005
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

4530 Lemay Ferry Rd Ste M
Saint Louis, MO 63129-1600
Phone: (314) 487-8724
Fax: (314) 487-0443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 36849 (MO)

Record details

NPI number1609874734
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 12, 2005
Last updated in NPPESOctober 16, 2017

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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