Active NPI
Odilon P Alvarado, MD
- Internal Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F3710
- Practice address
- 3455 Locke Ave Ste 315
Fort Worth, TX 76107-5745 - Phone
- (817) 336-1189
- Fax
- (817) 877-5665
- NPI assigned
- Jul 4, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F3710 | TX | Primary |
Addresses
Primary practice location
3455 Locke Ave Ste 315
Fort Worth, TX 76107-5745
Mailing address
3455 Locke Ave Ste 315
Fort Worth, TX 76107-5745
Phone (817) 336-1189
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114044404 | Medicaid | TX | |
| 114044405 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | oalvarado88530@Direct.TexasHealth.org | Health Information Exchange (HIE) |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Health and Human Services Commission | Current | Accepting new patients | |
| Texas Health Physicians Group | Internal Medicine | Current | Accepting new patients |
| Health and Human Services Commission | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Internal Medicine | Past | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
3455 Locke Ave
Ste 315
Fort Worth, TX 76107
Phone (817) 336-1189
1001 12th Ave
Ste 160
Ft Worth, TX 76104
Phone (817) 336-1189
1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000
1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000
341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996
Interoperability endpoints
- oalvarado88530@direct.texashealth.org
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 and National Provider Directory roles.
-
dba Rio Grande State Center
- Clinical Neuropsychologist
- Harlingen, TX
- NPI 1356414692
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
dba Big Spring State Hospital
- Psychiatric Hospital
- Big Spring, TX
- NPI 1881600682
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1053767897
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1275563389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 LOCKE AVE STE 315",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761075745",
"telephone_number": "817-336-1189",
"fax_number": "817-877-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 LOCKE AVE STE 315",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761075745",
"telephone_number": "817-336-1189",
"fax_number": "817-877-5665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "ODILON",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "F3710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114044404",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114044405",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oalvarado88530@Direct.TexasHealth.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3455 Locke Ave Ste 315",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761075745",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.