Individual provider Active NPI

Eliazar G Alvarez, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1215997259
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K9983 Issued in TX
Practice address
3920 W Wheatland Rd Ste 152
Dallas, TX 75237-3404
Phone
(214) 467-0432
Fax
(214) 467-0635
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K9983 TX Primary
Family Medicine Physician 207Q00000X G67483 CA

Addresses

Primary practice location

3920 W Wheatland Rd Ste 152
Dallas, TX 75237-3404

Mailing address

4400 Oak Park LN
Fort Worth, TX 76109-9534

Other identifiers 4

IdentifierTypeStateIssuer
00A674830MedicaidCA
186417502MedicaidTX
168068805MedicaidTX
186417501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070501000410 TX Practitioner - Family Practice 2062518442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Strategic Medical Group TX PLLCGroup PAC ID 1355707423, 26 clinicians

Practice addresses (Care Compare)

1720 E Broad St
Mansfield, TX 76063-3400
Phone (817) 453-5912

2600 S Douglas Rd
Suite 308
Coral Gables, FL 33134-6134

3920 W Wheatland Rd
Suite 152
Dallas, TX 75237-3404
Phone (214) 467-0432

4400 Oak Park LN
Fort Worth, TX 76109-9534
Phone (817) 985-7772

545 W Wheatland Rd
Duncanville, TX 75116-4515
Phone (972) 298-7191

6100 Harris Pkwy
Suite 1240
Fort Worth, TX 76132-4248
Phone (817) 789-6333

Hospital & facility affiliations

  • DFW Home Health Home health agency, Dallas, TX, CCN 458444
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G67483CAMDFamily Medicine Physician
K9983TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Medical Group TX PLLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2011 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Pinnacle Medical Group, Inc. Family Medicine Past Accepting new patients
United Family Care Family Medicine Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3920 W Wheatland Rd
Ste 152
Dallas, TX 75237
Phone (214) 467-0432

545 W Wheatland Rd
Duncanville, TX 75116
Phone (972) 298-7191

6100 Harris Pkwy
Ste 1240
Fort Worth, TX 76132
Phone (817) 433-5155

800 8th Ave
Ste 626
Fort Worth, TX 76104
Phone (817) 243-7995

4400 Oak Park Ln
Ft Worth, TX 76109
Phone (817) 207-9600

1720 E Broad St
Mansfield, TX 76063
Phone (817) 203-4057

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1215997259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 OAK PARK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W WHEATLAND RD STE 152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373404",
            "telephone_number": "214-467-0432",
            "fax_number": "214-467-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "ELIAZAR",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9983",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G67483",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A674830",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186417502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168068805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186417501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.