Individual provider Active NPI

Sergio Jose Alvarado, M.D.

  • Interventional Pain Medicine Physician
  • San Antonio, TX
National Provider Identifier
1255309084
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
L6762 Issued in TX
Practice address
3903 Wiseman Blvd Ste 101
San Antonio, TX 78251-4402
Phone
(210) 615-1901
Fax
(210) 615-1905
NPI assigned
Mar 9, 2006
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L6762 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X L6762 TX
Interventional Pain Medicine Physician 208VP0014X L6762 TX Primary

Addresses

Primary practice location

3903 Wiseman Blvd Ste 101
San Antonio, TX 78251-4402

Mailing address

P.O. Box 117614
Carrollton, TX 75011-0853
Phone (210) 615-1901

Other practice location 1

12602 Toepperwein Road, Ste 218
Live Oak, TX 78233-3217
Phone (210) 615-1901

Other identifiers 3

IdentifierTypeStateIssuer
166241303MedicaidTX
166241301MedicaidTX
166241304MedicaidTX

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
I20040710000164 TX Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Physical Medicine and RehabilitationPractitioner - Pediatric Medicine 2062490600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Pediatric Medicine, Physical Medicine and Rehabilitation
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spcsa PLLCGroup PAC ID 6507862638, 3 clinicians

Practice addresses (Care Compare)

3903 Wiseman Blvd
Suite 101
San Antonio, TX 78251-4402
Phone (210) 615-1901

Merit-based Incentive Payment System (MIPS)

Final score
78.14 of 100Reported as group
Quality
88.33
Improvement activities
40
Cost
42.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6762TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Ambulatory Surgical Center LLC PastSince Aug 5, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alvarado.sergio.002.0430152@spsa.meditab.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1255309084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 117614",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750110853",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 WISEMAN BLVD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514402",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12602 Toepperwein Road, Ste 218",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333217",
            "country_code": "US",
            "telephone_number": "210-615-1901",
            "fax_number": "210-615-1905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "SERGIO",
        "middle_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L6762",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "L6762",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L6762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166241303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166241301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166241304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.