Individual provider Active NPI

Laura D Alvez, M.D.

  • Nephrology Physician
National Provider Identifier
1447254891
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M-1632 Issued in GU
Practice address
736 Route 4
Ste. 103
Sinajana, GUAM 96910
UM
Phone
(671) 649-7232
Fax
(671) 649-7232
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 18145 WV
Nephrology Physician 207RN0300X 35069336A OH
Nephrology Physician 207RN0300X MD050934L PA
Nephrology Physician 207RN0300X M-1632 GU Primary

Addresses

Primary practice location

736 Route 4
Ste. 103
Sinajana, GUAM 96910
UM

Mailing address

736 Route 4
Ste. 103
Sinajana, GUAM 96910
UM
Phone (671) 649-7232

Other identifiers 8

IdentifierTypeStateIssuer
000776471OtherWVBLUE CROSS BLUE SHIELD
M-1632OtherGUMEDICAL LICENSE
000776471OtherPABLUE CROSS BLUE SHIELD
A18145BOtherWVHEALTH PLAN OF UPPER OHIO
0181860MedicaidOH
0078188000MedicaidWV
84134OtherWVCOVENTRY/CARELINK
000776471OtherOHBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20100126000582 GU Practitioner - Internal MedicinePractitioner - Nephrology 7810806015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
71.42 of 100Reported as group
Quality
34.49
Improvement activities
40
Cost
75.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35069336AOHMDNephrology Physician
MD050934LPAMDNephrology Physician
18145WVMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gurusamy Inc. CurrentSince Jun 1, 2019 Accepting new patients
Kidney Treatment Options, PC PastSince Jul 1, 2002 Accepting new patients
Advanced Eyecare, LLC PastSince Feb 17, 2016 Accepting new patients

Locations

655 Harmon Loop Rd
Ste 102
Dededo, GU 96929
Phone (671) 727-8811

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1447254891",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "736 ROUTE 4",
            "address_2": "STE. 103",
            "city": "SINAJANA",
            "state": "GUAM",
            "postal_code": "96910",
            "telephone_number": "671-649-7232",
            "fax_number": "671-649-7232"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "736 ROUTE 4",
            "address_2": "STE. 103",
            "city": "SINAJANA",
            "state": "GUAM",
            "postal_code": "96910",
            "telephone_number": "671-649-7232",
            "fax_number": "671-649-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVEZ",
        "first_name": "LAURA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "18145",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35069336A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD050934L",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GU",
            "license": "M-1632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000776471",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "M-1632",
            "state": "GU"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000776471",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF UPPER OHIO",
            "identifier": "A18145B",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181860",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078188000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY/CARELINK",
            "identifier": "84134",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000776471",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.