Individual provider Active NPI

Israel J Alvarado, MD

  • Internal Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1427096569
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11299 Issued in NV
Practice address
2031 McDaniel St Ste 250
North Las Vegas, NV 89030-6309
Phone
(702) 649-9070
Fax
(702) 649-9080
NPI assigned
Jun 2, 2006
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11299 NV Primary
Clinical Genetics (M.D.) Physician 207SG0201X 11299 NV

Addresses

Primary practice location

2031 McDaniel St Ste 250
North Las Vegas, NV 89030-6309

Mailing address

2031 McDaniel St Ste 250
North Las Vegas, NV 89030-6309
Phone (702) 649-9070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20050301000807 NV Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Medical Genetics and Genomics 0840283305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Medical Genetics and Genomics
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
William P Jacks MD CharteredGroup PAC ID 4284627357, 4 clinicians

Practice addresses (Care Compare)

2031 McDaniel St
Suite 250
North Las Vegas, NV 89030-6309
Phone (702) 649-9070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76465CAMDPharmacist
11299NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
William P Jacks MD Chartered CurrentSince Aug 1, 2021 Accepting new patients
Primary Care Providers of Southern Nevada LLC CurrentSince Oct 15, 2022 Accepting new patients
Vegas Medical Home Visit LLC CurrentSince May 1, 2022 Accepting new patients
Angeles Medical Centers LLC PastSince Jul 1, 2017 Accepting new patients

Locations

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

6166 S Sandhill Rd
Ste 112
Las Vegas, NV 89120
Phone (725) 248-9127

6330 W Flamingo Rd
Unit 107
Las Vegas, NV 89103
Phone (725) 577-9018

2031 McDaniel St
Ste 250
North Las Vegas, NV 89030
Phone (702) 649-9070

Interoperability endpoints

  • Direct secure messaging: israel.alvarado@87389088186372.direct.elationemr.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.

Hospital & facility affiliations 3

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1427096569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 MCDANIEL ST STE 250",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306309",
            "telephone_number": "702-649-9070",
            "fax_number": "702-649-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 MCDANIEL ST STE 250",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306309",
            "telephone_number": "702-649-9070",
            "fax_number": "702-649-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "ISRAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11299",
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NV",
            "license": "11299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.