Alejandro Carvallo, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME62950 Issued in FL

Practice address

36763 Eiland Blvd Ste 103
Zephyrhills, FL 33542-0600

Phone

(813) 994-3389

Fax

(813) 355-5051

NPI assigned

Sep 13, 2006

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alejandro.carvallo.1@18455.direct.athenahealth.com
• Direct secure messaging: nephrology@flmed.directbygreenway.com

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.

• Florida Medical Clinic LLC

  • Clinic/Center
  • Zephyrhills, FL
  • NPI 1821055690
  Medicare reassignment
• Madigan Dialysis LLC

  dba Land O Lakes Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Land O' Lakes, FL
  • NPI 1629447784
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1053416412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQUARE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33542",
            "telephone_number": "813-528-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36763 EILAND BLVD STE 103",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335420600",
            "telephone_number": "813-994-3389",
            "fax_number": "813-355-5051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38135 Market Square",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "33542",
            "country_code": "US",
            "telephone_number": "813-782-3727",
            "fax_number": "813-355-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVALLO",
        "first_name": "ALEJANDRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME62950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPA  MEDICARE#",
            "identifier": "18832U",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373724100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "390007562",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nephrology@flmed.directbygreenway.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "36763 Eiland Blvd Ste 103",
            "city": "Zephyrhills",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335420600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meekie Carr
• Cameron Todd Carrothers
• Melissa Anne Carter
• Sion William Carter, M.D.
• Jose A Carugno, MD
• Lourdes Castellanos-Reyes
• Elvis Castillo Garcia, M.D.
• Romana Cindy Castorena, RD
• Courtney Maxwell Cavall, LHMC
• Jennifer Miller Cejas, AU.D

• Nephrology Physician in Zephyrhills, FL
• Providers in Zephyrhills, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.