Individual provider Active NPI

Roger Martin Alvarado

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1265430243
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00023619 Issued in AL
Practice address
1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1407
Phone
(251) 435-1200
Fax
(251) 435-6357
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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 00023619 AL Primary

Addresses

Primary practice location

1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1407

Mailing address

1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1407
Phone (251) 435-1200

Other identifiers 3

IdentifierTypeStateIssuer
009940790MedicaidAL
0411643OtherALUNITED HEALTHCARE
051098399OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040301000726 AL Practitioner - Internal Medicine 5496669400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians
Mobile Infirmary AssociationGroup PAC ID 3476456625, 8 clinicians

Practice addresses (Care Compare)

1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1416

1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200

1720 Spring Hill Ave
Suite 401
Mobile, AL 36604-1410
Phone (251) 210-3250

5 Mobile Infirmary Cir
Suite G805
Mobile, AL 36607-3513
Phone (251) 435-6590

831 C Hillcrest Rd
Mobile, AL 36695-3909
Phone (251) 666-4949

95 Shell Rd
Saraland, AL 36571-2202
Phone (251) 675-4733

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Mobile, AL, CCN 017020
  • Prohealth Home Health, LLC Home health agency, Daphne, AL, CCN 017180
  • Saad Healthcare Home health agency, Mobile, AL, CCN 017025
  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • Little Sisters of the Poor Sacred Heart Residence Nursing home, Mobile, AL, CCN 015168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00023619ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Medical Group, PC Internal Medicine Current Accepting new patients
Mobile Infirmary Association Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jun 1, 2009 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC Internal Medicine CurrentSince Jun 1, 2009 Accepting new patients
Mobile Infirmary Association Current Accepting new patients

Locations

1720 Spring Hill Ave
Ste 401
Mobile, AL 36604
Phone (251) 210-3250

101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608
Phone (251) 414-3079

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

1720 Spring Hill Ave
Ste 300
Mobile, AL 36604

Interoperability endpoints

  • Direct secure messaging: roger.alvarado.1@27325.direct.athenahealth.com
  • Direct secure messaging: ralvarado16217@directinfirmaryhealth.org

Organizations & group practices 5

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 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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1265430243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SPRING HILL AVE",
            "address_2": "SUITE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041407",
            "telephone_number": "251-435-1200",
            "fax_number": "251-435-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SPRING HILL AVE",
            "address_2": "SUITE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041407",
            "telephone_number": "251-435-1200",
            "fax_number": "251-435-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "ROGER",
        "middle_name": "MARTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00023619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940790",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0411643",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051098399",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.