Active NPI
Edel Alvarez Galban, M.D.
- General Practice Physician
- Clearwater, FL
National Provider Identifier
1477930501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN652
- Practice address
- 2878 Roosevelt Blvd
Clearwater, FL 33760-1923 - Phone
- (727) 474-3442
- Fax
- (727) 474-3648
- NPI assigned
- Apr 27, 2015
- Last updated
- Nov 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN652 | FL | Primary |
Addresses
Primary practice location
2878 Roosevelt Blvd
Clearwater, FL 33760-1923
Mailing address
5512 18TH St NE
St Petersburg, FL 33703-1731
Phone (813) 453-7931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015831700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebeccalaurenaprn@hushmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2878 Roosevelt Blvd
Clearwater, FL 33760-1923
Phone (813) 453-7931
5512 18TH St NE
Saint Petersburg, FL 33703-1731
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca Lauren Aprn, LLC | Current | Accepting new patients | |
| Edel Alvarez MD LLC | Current | Accepting new patients | |
| Medical Home Doctors | Past | Accepting new patients |
Locations
2878 Roosevelt Blvd
Clearwater, FL 33760
Phone (727) 507-8555
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Clearwater, FL
- NPI 1093393993
-
- Adult Mental Health Clinic/Center
- St Petersburg, FL
- NPI 1053979617
-
- Geriatric Medicine (Family Medicine) Physician
- Hudson, FL
- NPI 1760719439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1477930501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5512 18TH ST NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337031731",
"telephone_number": "813-453-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2878 ROOSEVELT BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337601923",
"telephone_number": "727-474-3442",
"fax_number": "727-474-3648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ GALBAN",
"first_name": "EDEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-27",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015831700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rebeccalaurenaprn@hushmail.com",
"affiliation": "N",
"endpointDescription": "rebeccalaurenaprn@hushmail.com",
"address_1": "2878 Roosevelt Blvd",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337601923",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.