Alexis C Alvarado, PA-C
Individual provider Active NPI Medical Physician Assistant · Merillville, IL
NPI 1174861090 · NPPES record last updated Nov 6, 2015
Key facts
- NPI
- 1174861090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 10001662A (IN)
- Practice address
- 8687 Connecticut St
Ste D
Merillville, IL 46410-5541 - Phone
- (219) 750-9630
- Fax
- (219) 750-9451
- NPI assigned
- Jan 28, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Chicago Spine and Joint, S.C.
Practice addresses (Care Compare)
1890 Silver Cross Blvd
New Lenox, IL 60451-9524
Phone (815) 416-1224
907 N Elm St
Suite 101
Hinsdale, IL 60521-3644
Phone (708) 482-4500
Hospital & facility affiliations
- Silver Cross Hospital and Medical Centers
- Morris Hospital & Healthcare Centers
- Uchicago Medicine Adventhealth la Grange
- Uchicago Medicine Adventhealth Hinsdale
- Osf Saint Elizabeth MDL Ctr
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130419000130 | IL | Practitioner - Physician Assistant | 5799921664 | Reassigns benefits to 1 organization |
| I20151104003102 | IN | Practitioner - Physician Assistant | 5799921664 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-004592 | IL | MD | Medical Physician Assistant |
| 10001662A | IN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Spine and Joint, S.C. | Past | Accepting new patients | |
| Northwest Suburban Urology Associates SC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085-004592 | IL | |
| Medical Physician Assistant | 363AM0700X | 10001662A | IN | Yes |
Addresses
Primary practice location
8687 Connecticut St
Ste D
Merillville, IL 46410-5541
Mailing address
8687 Connecticut St
Ste D
Merillville, IL 46410-5541
Phone (219) 750-9630
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201235280 | Medicaid | IN |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.