Individual provider Active NPI

Jose I Alvarez, MD

  • Emergency Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1003920836
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
105212 Issued in MO
Practice address
6150 Oakland Ave
Saint Louis, MO 63139-3215
Phone
(314) 768-3090
Fax
(314) 768-3031
NPI assigned
Aug 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 105212 MO Primary

Addresses

Primary practice location

6150 Oakland Ave
Saint Louis, MO 63139-3215

Mailing address

531 Pebble Brook LN
Hmai
Belleville, IL 62221-7609
Phone (618) 779-5508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418001160 MO Practitioner - Internal MedicinePractitioner - Geriatric PsychiatryPractitioner - RheumatologyPractitioner - Emergency Medicine 9638117930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Healthsystem Di, Inc. Past Accepting new patients
Missouri Em-I Medical Services, P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003920836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 PEBBLE BROOK LN",
            "address_2": "HMAI",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217609",
            "telephone_number": "618-779-5508",
            "fax_number": "618-206-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 OAKLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393215",
            "telephone_number": "314-768-3090",
            "fax_number": "314-768-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "JOSE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "105212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.