Alfredo J. Fiallo, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

H6815 Issued in TX

Practice address

400 Baltimore
San Antonio, TX 78215-1919

Phone

(210) 228-0743

Fax

(210) 228-9749

NPI assigned

Dec 6, 2005

Last updated

Nov 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• MSC Health Texas LLC

  dba Carmen Floresville

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Floresville, TX
  • NPI 1316515489

  Nephrology

  Medicare reassignment NPD
• MSC Health Texas LLC

  dba Carmen HEALTH

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lakeway, TX
  • NPI 1386336162
  NPD
• San Antonio Kidney Disease Center Physicians Group, P.L.L.C.

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1952429029
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1417931031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7142 SAN PEDRO AVE",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166256",
            "telephone_number": "210-661-5622",
            "fax_number": "210-395-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALTIMORE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151919",
            "telephone_number": "210-228-0743",
            "fax_number": "210-228-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIALLO",
        "first_name": "ALFREDO",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "H6815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118942503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "390004412",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily-Mae Fewell
• Rachel Fey Larsen, PT
• Ffacts Pharmacy
• FHST Diagnostic Services PLLC
• Lois A Fiala, MD
• Faraz Fiazuddin, M.D.
• Hendre Jeannetta Fichardt, MD
• Frank Manuel Fichtel, MD
• Lisa M. Fichtel, M.D.
• Mollie Fick

• Nephrology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.

Verify at the official NPI Registry.