Active NPI
Alejandro Jose Quiroz Alfaro, M.D.
- Student in an Organized Health Care Education/Training Program
- Tupelo, MS
National Provider Identifier
1245087519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 830 South Gloster Street, Tupelo, Ms 38801
830 South Gloster Street, Tupelo, Ms 38801
Tupelo, MS 38801 - Phone
- (662) 377-6652
- NPI assigned
- May 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
830 South Gloster Street, Tupelo, Ms 38801
830 South Gloster Street, Tupelo, Ms 38801
Tupelo, MS 38801
Mailing address
830 South Gloster Street, Tupelo, Ms 38801
830 South Gloster Street, Tupelo, Ms 38801
Tupelo, MS 38801
Phone (662) 377-6652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240731001846 | MS | Order and Referring Only - Internal Medicine | 8820535586 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients |
Locations
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Interoperability endpoints
- alejandroalfaro@nmhs.medalliesdirect.net
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1245087519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 SOUTH GLOSTER STREET, TUPELO, MS 38801",
"address_2": "830 SOUTH GLOSTER STREET, TUPELO, MS 38801",
"city": "TUPELO",
"state": "MS",
"postal_code": "38801",
"telephone_number": "662-377-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 SOUTH GLOSTER STREET, TUPELO, MS 38801",
"address_2": "830 SOUTH GLOSTER STREET, TUPELO, MS 38801",
"city": "TUPELO",
"state": "MS",
"postal_code": "38801",
"telephone_number": "662-377-6652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIROZ ALFARO",
"first_name": "ALEJANDRO",
"middle_name": "JOSE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-03",
"last_updated": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.