Alvin Abaqueta, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

98-00751 Issued in NC

Practice address

8401 Medical Plaza Dr
Ste 365
Charlotte, NC 28262-8797

Phone

(704) 944-0975

Fax

(704) 943-3699

NPI assigned

Feb 10, 2006

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Family Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Main Street Family Practice of China Grove PCGroup PAC ID 0941472021, 3 clinicians

Medical Plaza Family and Geriatric Physicians PAGroup PAC ID 4385885706, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFACCA
• FHIR API: https://fhir4.healow.com/fhir/r4/AFACCA/Endpoint/AFACCA

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.

• Main Street Family Practice of China Grove PC

  • Family Medicine Physician
  • China Grove, NC
  • NPI 1619279247
  Medicare reassignment Care Compare group NPD
• Medical Plaza Family & Geriatric Physicians, PA

  • Geriatric Medicine (Family Medicine) Physician
  • Charlotte, NC
  • NPI 1851630172
  Medicare reassignment Care Compare group NPD
• Main Street Family Practice PC

  • Family Medicine Physician
  • China Grove, NC
  • NPI 1760489629
  NPD

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1235102187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MEDICAL PLAZA DR",
            "address_2": "STE 365",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628797",
            "telephone_number": "704-944-0975",
            "fax_number": "704-943-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MEDICAL PLAZA DR",
            "address_2": "STE 365",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628797",
            "telephone_number": "704-944-0975",
            "fax_number": "704-943-3699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7845 Little Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282268198",
            "country_code": "US",
            "telephone_number": "704-375-0100",
            "fax_number": "704-887-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABAQUETA",
        "first_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "98-00751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911654",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00751",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• ABA Endeavor NC LLC
• ABA Grateful Care NC
• ABA Journey LLC
• ABA Language Providers & Logistics SVCS LLC
• Maria Zenaida Ligon Abanilla, PT
• Ryan Michael Abarno, DPT
• Abasere Home Care LLC
• Nicollette Abato
• Abbey H Ives Counseling and Supervision PLLC
• Hannah Broome Abbott

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.