Active NPI
Pamela A Alva Porroa, NP
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP020743
- Practice address
- 401-55 W Allegheny Avenue
Philadelphia, PA 19133-3644 - Phone
- (215) 291-2500
- Fax
- (215) 291-2502
- NPI assigned
- Dec 4, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN433850 | OH | |
| Family Nurse Practitioner | 363LF0000X | SP020743 | PA | Primary |
Addresses
Primary practice location
401-55 W Allegheny Avenue
Philadelphia, PA 19133-3644
Mailing address
1412-22 Fairmount Avenue
Philadelphia, PA 19130
Phone (215) 684-5344
Other practice location 1
2109 Adelbert Rd
Cleveland, OH 44106-2624
Phone (216) 368-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1036877090001 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pamala.alva.p1@direct.dvch.nextgenshare.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN433850 | OH | MD | Registered Nurse |
| SP020743 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Valley Community Health, Inc. | Current | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Past | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Past | Accepting new patients |
Locations
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
1412 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 235-9600
400 W Allegheny Ave
Bldg 3
Philadelphia, PA 19133
Phone (215) 546-7501
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- pamala.alva.p1@direct.dvch.nextgenshare.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1386864502
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1235956921
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1114940582
-
- Federally Qualified Health Center (FQHC)
- Sharon Hill, PA
- NPI 1295279644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1477023307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412-22 FAIRMOUNT AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19130",
"telephone_number": "215-684-5344",
"fax_number": "215-232-4093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401-55 W ALLEGHENY AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191333644",
"telephone_number": "215-291-2500",
"fax_number": "215-291-2502"
}
],
"practiceLocations": [
{
"address_1": "2109 Adelbert Rd",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441062624",
"country_code": "US",
"telephone_number": "216-368-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALVA PORROA",
"first_name": "PAMELA",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-04",
"last_updated": "2021-08-25",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN433850",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP020743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1036877090001",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pamala.alva.p1@direct.dvch.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "401-55 W Allegheny Avenue",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191333644",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.