Active NPI
Domingo T Alvear, MD
- Pediatric Surgery Physician
- Lemoyne, PA
National Provider Identifier
1174528533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- MD033698L
- Practice address
- 3 Walnut St
Lemoyne, PA 17043-1168 - Phone
- (717) 232-9593
- Fax
- (717) 234-9638
- NPI assigned
- Jun 14, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | MD033698L | PA | Primary |
Addresses
Primary practice location
3 Walnut St
Lemoyne, PA 17043-1168
Mailing address
409 S 2ND St
Suite 2F
Harrisburg, PA 17104-1612
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL128403 | Other | PA | BLUE SHIELD |
| 0006399930005 | Medicaid | PA | |
| 01605301 | Other | PA | BLUE CROSS |
| 0006399930001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1174528533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST",
"address_2": "SUITE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WALNUT ST",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431168",
"telephone_number": "717-232-9593",
"fax_number": "717-234-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVEAR",
"first_name": "DOMINGO",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "PA",
"license": "MD033698L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "AL128403",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006399930005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "01605301",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006399930001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.