Active NPI
Freddy Jose Carreras Alvarado, M.D.
- Addiction Psychiatry Physician
- San Antonio, TX
National Provider Identifier
1184057648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- S2743
- Practice address
- 7428 W Military Dr
San Antonio, TX 78227-3010 - Phone
- (210) 673-8111
- Fax
- (888) 299-0799
- NPI assigned
- Aug 19, 2013
- Last updated
- Nov 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 260723 | MA | |
| Psychiatry Physician | 2084P0800X | S2743 | TX | |
| Psychiatry Physician | 2084P0800X | A149871 | CA | |
| General Practice Physician | 208D00000X | 29472 | PR | |
| Addiction Psychiatry Physician | 2084P0802X | S2743 | TX | Primary |
Addresses
Primary practice location
7428 W Military Dr
San Antonio, TX 78227-3010
Mailing address
7428 W Military Dr
San Antonio, TX 78227-3010
Phone (210) 673-8111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A149871 | CA | MD | Psychiatry Physician |
| S2743 | TX | MD | Addiction Psychiatry Physician |
| 29472 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | Accepting new patients |
Locations
85 Newton St
Boston, MA 02118
Phone (617) 305-9960
Organizations & group practices 2
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 Dept of Mental Health - Dr. Solomon Carter Fuller Mental Health Center
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1285759464
-
dba Soldiers' Home in Holyoke
- General Acute Care Hospital
- Holyoke, MA
- NPI 1427111574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1184057648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7428 W MILITARY DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782273010",
"telephone_number": "210-673-8111",
"fax_number": "888-299-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7428 W MILITARY DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782273010",
"telephone_number": "210-673-8111",
"fax_number": "888-299-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRERAS ALVARADO",
"first_name": "FREDDY",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-19",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "260723",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "S2743",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A149871",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "29472",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "TX",
"license": "S2743",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "7428 W Military Dr",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782273010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.