Active NPI
Alvaro M Vega, P.A.
- Emergency Medicine Physician
- Logansport, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- I0000632A
- Practice address
- 1101 Michigan Ave
Logansport, IN 46947-1528 - Phone
- (574) 753-7541
- Fax
- (574) 753-1515
- NPI assigned
- Feb 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | I0000632A | IN | Primary |
Addresses
Primary practice location
1101 Michigan Ave
Logansport, IN 46947-1528
Mailing address
8243 Jackson Ave
Munster, IN 46321-1632
Phone (219) 836-4351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0000632A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care PA | Current | Accepting new patients | |
| American Current Care of Illinois PC | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Nes Indiana, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590
7501 W 15th Ave
Gary, IN 46406
Phone (219) 977-2090
5604 W 74th St
Indianapolis, IN 46278
Phone (317) 290-1551
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
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.
-
dba Concentra Immediate Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1285071241
IL
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1013194455
IN
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Emergency Medicine Physician
- Logansport, IN
- NPI 1265413686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073585980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8243 JACKSON AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211632",
"telephone_number": "219-836-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MICHIGAN AVE",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471528",
"telephone_number": "574-753-7541",
"fax_number": "574-753-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "ALVARO",
"middle_name": "M",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "I0000632A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.