Individual provider Active NPI

Gustavo Alejandro Alvarez-Paiva, M.D.

  • Anatomic Pathology Physician
  • Bedford, TX
National Provider Identifier
1154447993
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
2003024385 Issued in MO
Practice address
1800 Plaza Dr
Bedford, TX 76021-6013
Phone
(817) 310-4490
Fax
(817) 310-4491
NPI assigned
Mar 22, 2007
Last updated
Aug 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 43780 TN
Anatomic Pathology Physician 207ZP0101X 2003024385 MO Primary

Addresses

Primary practice location

1800 Plaza Dr
Bedford, TX 76021-6013

Mailing address

PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2213

Other practice location 1

3495 Hacks Cross Rd
Memphis, TN 38125-8803
Phone (901) 526-7444

Other practice location 2

3495 Hacks Cross Rd
Memphis, TN 38125-8803
Phone (901) 526-7444

Other practice location 3

121 Saint Lukes Center Dr Ste 406
Chesterfield, MO 63017
Phone (314) 346-9554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MO, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080717000390 TN Practitioner - Pathology 2365515723 Reassigns benefits to 1 organization
I20170502000863 MO Practitioner - Pathology 2365515723
I20210715002285 TX Practitioner - Pathology 2365515723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 Plaza Dr
Bedford, TX 76021-6013
Phone (817) 310-4490

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003024385MOMDAnatomic Pathology Physician
43780TNMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Kofi Nuako, MD, PC CurrentSince Jul 16, 2019 Accepting new patients
Gastroenterology Associates of Southeast Mo, PC CurrentSince Aug 1, 2018 Accepting new patients
Propath Associates, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Queens Crossing Dermatology, PLLC PastSince Jun 1, 2017 Accepting new patients
Long Island Dermatology PLLC PastSince Jul 19, 2017 Accepting new patients

Locations

1429 N Mount Auburn Rd
Cpe Girardeau, MO 63701
Phone (573) 334-8870

1109 E Reelfoot Ave
Ste C
Union City, TN 38261
Phone (731) 884-0600

1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1154447993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35629",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752350629",
            "telephone_number": "214-424-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PLAZA DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216013",
            "telephone_number": "817-310-4490",
            "fax_number": "817-310-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3495 Hacks Cross Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381258803",
            "country_code": "US",
            "telephone_number": "901-526-7444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3495 Hacks Cross Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381258803",
            "country_code": "US",
            "telephone_number": "901-526-7444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Saint Lukes Center Dr Ste 406",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "63017",
            "country_code": "US",
            "telephone_number": "314-346-9554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVAREZ-PAIVA",
        "first_name": "GUSTAVO",
        "middle_name": "ALEJANDRO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TN",
            "license": "43780",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MO",
            "license": "2003024385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.