Individual provider Active NPI

Vanessa Alvarez, M.D.

  • Pulmonary Disease Physician
  • Elgin, IL
National Provider Identifier
1023034196
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
S9090 Issued in TX
Practice address
1710 N Randall Rd Ste 260
Elgin, IL 60123-9402
Phone
(847) 931-7900
NPI assigned
Jul 14, 2006
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 229965 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D65179 MD
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD2012-0867 NM
Pulmonary Disease Physician 207RP1001X 229965 NY
Pulmonary Disease Physician 207RP1001X 036-150072 IL
Pulmonary Disease Physician 207RP1001X D65179 MD
Pulmonary Disease Physician 207RP1001X MD2012-0867 NM
Pulmonary Disease Physician 207RP1001X S9090 TX Primary

Addresses

Primary practice location

1710 N Randall Rd Ste 260
Elgin, IL 60123-9402

Mailing address

1710 N Randall Rd
Ste 260
Elgin, IL 60123-9402
Phone (847) 931-7900

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address valvarez313770@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NM, MD, ME, TX, IL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20060810000106 NY Practitioner - Pulmonary DiseasePractitioner - Emergency Medicine 3971506072 Reassigns benefits to 1 organization
I20130712000023 NM Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 3971506072 Reassigns benefits to 1 organization
I20191028000428 MD Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3971506072 Reassigns benefits to 2 organizations
I20201218000947 ME Practitioner - Pulmonary Disease 3971506072 Reassigns benefits to 2 organizations
I20211021001624 TX Practitioner - Internal Medicine 3971506072 Reassigns benefits to 1 organization
I20220103001790 IL Practitioner - Pulmonary Disease 3971506072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians

Practice addresses (Care Compare)

49 Lawrence Ave
Potsdam, NY 13676-1889
Phone (315) 261-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.51 of 100Reported as group
Quality
49.04
Promoting interoperability
95
Improvement activities
40
Cost
69.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-150072ILMDPulmonary Disease Physician
D65179MDMDPulmonary Disease Physician
MD2012-0867NMMDPulmonary Disease Physician
229965NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc Pulmonary Disease CurrentSince Jan 12, 2021 Accepting new patients
Canton-Potsdam Hospital CurrentSince Feb 9, 2026 Accepting new patients
St Agnes Healthcare Inc Critical Care Medicine CurrentSince May 23, 2023 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Oct 7, 2019 Accepting new patients
Upmc Western Maryland Corporation Critical Care Medicine Current Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Oct 31, 2023 Accepting new patients
York Hospital Pulmonary Disease CurrentSince Dec 8, 2020 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Jul 27, 2022 Accepting new patients
Canton-Potsdam Hospital CurrentSince Feb 9, 2026 Accepting new patients
Sherman MD Provider Inc Critical Care Medicine CurrentSince Oct 14, 2025 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
Sherman MD Provider Inc Critical Care Medicine CurrentSince Oct 14, 2025 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Oct 31, 2023 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Jan 12, 2021 Accepting new patients
St Agnes Healthcare Inc CurrentSince May 23, 2023 Accepting new patients
Sherman MD Provider Inc Current Accepting new patients
St. Mary's Regional Medical Center CurrentSince Jul 27, 2022 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Oct 7, 2019 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Pulmonary Disease Current Accepting new patients
Upmc Western Maryland Health Services, LLC Pulmonary Disease Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Canton Potsdam Hospital Past Accepting new patients

Locations

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3331 W Deyoung St
Marion, IL 62959
Phone (618) 985-9140

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Ste 280
Cumberland, MD 21502
Phone (240) 964-8750

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

93 Campus Ave
Ste G25
Lewiston, ME 04240
Phone (207) 333-4799

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

16 Hospital Dr
York, ME 03909
Phone (207) 351-3455

407 S Schwartz Ave
Ste 101
Farmington, NM 87401
Phone (505) 609-6595

407 S Schwartz Ave
Ste 202
Farmington, NM 87401
Phone (505) 609-6595

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

49 Lawrence Ave
Potsdam, NY 13676
Phone (315) 261-5550

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

1315 St Joseph Pkwy
Ste 806
Houston, TX 77002
Phone (713) 650-1900

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

2555 Jimmy Johnson Blvd
Ste 500
Port Arthur, TX 77640
Phone (409) 237-0045

3401 N Calais Dr
Ste A
Sherman, TX 75090
Phone (903) 870-2094

1908 N Laurent St
Ste 330
Victoria, TX 77901
Phone 36157203332244

Interoperability endpoints

  • Direct secure messaging: valvarez313770@direct.myadvocateaurora.org
  • Direct secure messaging: vanessa.alvarez.1@19036.direct.athenahealth.com
  • Direct secure messaging: vanessa.alvarez.1@27782.direct.athenahealth.com
  • Direct secure messaging: vanessa.alvarez.1@6965.direct.athenahealth.com
  • Direct secure messaging: vanessaalvarez@agh.allscriptsdirect.net

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 3

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1023034196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD",
            "address_2": "STE 260",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239402",
            "telephone_number": "847-931-7900",
            "fax_number": "847-931-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD STE 260",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239402",
            "telephone_number": "847-931-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "229965",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D65179",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NM",
            "license": "MD2012-0867",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "229965",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036-150072",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D65179",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NM",
            "license": "MD2012-0867",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "S9090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "valvarez313770@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1710 N Randall Rd Ste 260",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601239402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1710 N Randall Rd Ste 260",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601239402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.