Active NPI
Robert Chiles Alvis, MD
- Nephrology Physician
- Bronx, NY
National Provider Identifier
1295711950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 153000
- Practice address
- 3468 Park Avenue
Bronx, NY 10456 - Phone
- (914) 741-5057
- Fax
- (914) 741-1169
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 153000 | NY | Primary |
| Nephrology Physician | 207RN0300X | 027685 | CT |
Addresses
Primary practice location
3468 Park Avenue
Bronx, NY 10456
Mailing address
PO Box 194
Thornwood, NY 10594
Phone (914) 741-5057
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004654188 | Other | NY | AETNA NON HMO |
| 00900252 | Medicaid | NY | |
| 3C2734 | Other | NY | HEALTH NET |
| 000000077241 | Other | NY | GHI HMO |
| 133884168 | Other | NY | MULTIPLAN |
| 133884168 | Other | BEECH STREET | |
| 133884168 | Other | NY | HIP |
| 2591900 | Other | NY | GHI PPO |
| 8140750 | Other | NY | CIGNA |
| WS816 | Other | NY | OXFORD |
| 004054 | Other | NY | CONNECTICARE |
| 3375547 | Other | NY | AETNA HMO |
| 132966422 | Other | NY | UNITED HEALTH CARE |
| 133884168 | Other | NY | POMCO |
| 6X9171 | Other | NY | BLUE CROSS ALL PLANS |
| 133884168 | Other | NY | EMPIRE STATE PLAN (NYS) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Renal Associates | Past | Accepting new patients | |
| The Westchester Medical Group PC | Past | Accepting new patients | |
| Bronx Nephrology Hypertension PC | Nephrology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Nephrology Physician
- Bronx, NY
- NPI 1912187956
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bronx, NY
- NPI 1598760811
-
- Durable Medical Equipment & Medical Supplies
- Greenwich, CT
- NPI 1790560878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1295711950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 194",
"city": "THORNWOOD",
"state": "NY",
"postal_code": "10594",
"telephone_number": "914-741-5057",
"fax_number": "914-741-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3468 PARK AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "10456",
"telephone_number": "914-741-5057",
"fax_number": "914-741-1169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVIS",
"first_name": "ROBERT",
"middle_name": "CHILES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "153000",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CT",
"license": "027685",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "0004654188",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00900252",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "3C2734",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000077241",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "133884168",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "2591900",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8140750",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "WS816",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "004054",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3375547",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "132966422",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POMCO",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ALL PLANS",
"identifier": "6X9171",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE STATE PLAN (NYS)",
"identifier": "133884168",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.