Individual provider Active NPI

Lawrence A Alder, M.D.

  • Internal Medicine Physician
  • Kerrville, TX
National Provider Identifier
1023027182
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K7967 Issued in TX
Practice address
144 Fairway Dr Ste a
Kerrville, TX 78028-6456
Phone
(830) 257-5500
Fax
(830) 257-5501
NPI assigned
Aug 7, 2006
Reactivated
Jun 19, 2019
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K7967 TX Primary

Addresses

Primary practice location

144 Fairway Dr Ste a
Kerrville, TX 78028-6456

Mailing address

144 Fairway Dr
Kerrville, TX 78028-6455
Phone (830) 257-5500

Other identifiers 2

IdentifierTypeStateIssuer
8FG368OtherTXBCBS PROVIDER ID NUMBER
K7967OtherTXTEXAS MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040304001169 TX Practitioner - Internal Medicine 8022906882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medcare Associates PAGroup PAC ID 5294714580, 28 clinicians

Practice addresses (Care Compare)

1050 State Hwy 16 S
Bandera, TX 78003-4830
Phone (830) 796-7713

144 Fairway Dr
Suite a
Kerrville, TX 78028-6456
Phone (830) 257-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence a. Alder, MD. PLLC Internal Medicine CurrentSince Feb 4, 2019 Accepting new patients
Medcare Associates PA Internal Medicine Past Accepting new patients
Access Healthcare LLC Internal Medicine Past Accepting new patients

Locations

144 Fairway Dr
Ste A
Kerrville, TX 78028
Phone (210) 363-0381

703 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 257-0022

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCHGBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCHGBD/Endpoint/DCHGBD

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1023027182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 FAIRWAY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286455",
            "telephone_number": "830-257-5500",
            "fax_number": "830-331-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 FAIRWAY DR STE A",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286456",
            "telephone_number": "830-257-5500",
            "fax_number": "830-257-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDER",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "deactivation_date": "2019-06-14",
        "reactivation_date": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID NUMBER",
            "identifier": "8FG368",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "K7967",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.