Individual provider Active NPI

Joan V Alvarado, MD

  • Family Medicine Physician
  • Charleston, IL
National Provider Identifier
1033430624
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036131131 Issued in IL
Practice address
116 W Buchanan Ave
Charleston, IL 61920-2522
Phone
(217) 345-7700
Fax
(217) 345-7200
NPI assigned
Jun 17, 2010
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician 207QB0002X 036-131131 IL
Family Medicine Physician 207Q00000X 036131131 IL Primary

Addresses

Primary practice location

116 W Buchanan Ave
Charleston, IL 61920-2522

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Other practice location 1

1004 Health Center Dr Ste 210
Mattoon, IL 61938-4608
Phone (217) 348-4961

Other practice location 2

1201 Wooddell Way Ste B
Mattoon, IL 61938-1014
Phone (217) 238-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20130712000298 IL Practitioner - Family PracticePractitioner - Other (Physician) 8820238967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1004 Health Ctr Dr
Suite 210
Mattoon, IL 61938-4608
Phone (217) 348-4961

101 Professional PLZ
Mattoon, IL 61938-9252
Phone (217) 238-3730

116 W Buchanan Ave
Charleston, IL 61920-2522
Phone (217) 345-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036131131ILMDFamily Medicine Physician
036-131131ILMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Aug 12, 2013 Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Locations

116 W Buchanan Ave
Charleston, IL 61920
Phone (217) 345-7700

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1004 Health Center Dr
Ste 210
Mattoon, IL 61938
Phone (217) 238-4961

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1201 Wooddell Way
Ste B
Mattoon, IL 61938
Phone (217) 238-3000

Organizations & group practices 3

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": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1033430624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W BUCHANAN AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202522",
            "telephone_number": "217-345-7700",
            "fax_number": "217-345-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Health Center Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384608",
            "country_code": "US",
            "telephone_number": "217-348-4961",
            "fax_number": "217-238-4962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Wooddell Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619381014",
            "country_code": "US",
            "telephone_number": "217-238-3000",
            "fax_number": "217-238-3008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "JOAN",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "IL",
            "license": "036-131131",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036131131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, IL

Sources for this page

Verify at the official NPI Registry.