NPIMap

Individual provider Active NPI

Alvin V Tenchavez, M.D.

  • Internal Medicine Physician
  • Boaz, AL
National Provider Identifier
1225023211
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24782 Issued in AL
Practice address
2986 US Highway 431
Boaz, AL 35957-5848
Phone
(256) 840-8181
Fax
(256) 744-7272
NPI assigned
Sep 15, 2005
Last updated
May 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24782 AL Primary

Addresses

Primary practice location

2986 US Highway 431
Boaz, AL 35957-5848

Mailing address

PO Box 97
Gadsden, AL 35902-0097

Other identifiers 1

IdentifierTypeStateIssuer
051552716MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100608000628 AL Practitioner - Internal MedicinePractitioner - Sleep Medicine 5294865895 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Doctors Family Medical Center LLCGroup PAC ID 0648597567, 13 clinicians

Practice addresses (Care Compare)

3442 US Hwy 431
Albertville, AL 35950-0203
Phone (256) 580-7660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24782ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Doctors Family Medical Center LLC Internal Medicine CurrentSince Mar 15, 2015 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Southern Divine Family Medical Center LLC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Gana Holdings, LLC Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Quality of Life Health Services Inc CurrentSince Dec 15, 2014 Accepting new patients
Quality of Life Health Services, Inc CurrentSince Dec 15, 2014 Accepting new patients
Crossville Health and Rehabilitation LLC Past Accepting new patients

Locations

3442 US Highway 431
Albertville, AL 35950
Phone (256) 593-1234

7130 6th Ave
Altoona, AL 35952
Phone (205) 589-1092

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

12062 AL Highway 227
Geraldine, AL 35974
Phone (256) 659-2422

180 Medical St
Snead, AL 35952
Phone (205) 386-4341

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1225023211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575848",
            "telephone_number": "256-840-8181",
            "fax_number": "256-744-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENCHAVEZ",
        "first_name": "ALVIN",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "24782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051552716",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

Verify at the official NPI Registry.