Individual provider Active NPI

Courtney Alvarez

  • Physician Assistant
  • Williamsville, NY
National Provider Identifier
1508314592
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
021981 Issued in NY
Practice address
705 Maple Rd Ste 300
Williamsville, NY 14221-3291
Phone
(716) 710-8266
Fax
(716) 710-8267
NPI assigned
Sep 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10765 TX
Physician Assistant 363A00000X 021981 NY Primary

Addresses

Primary practice location

705 Maple Rd Ste 300
Williamsville, NY 14221-3291

Mailing address

705 Maple Rd Ste 300
Williamsville, NY 14221-3291
Phone (716) 710-8266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180531001391 NY Practitioner - Physician Assistant 9133401524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

1091 Main St
Suite 301
Buffalo, NY 14209-2305
Phone (716) 362-0328

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600

3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266

5959 Big Tree Rd
Orchard Park, NY 14127-2291
Phone (716) 882-0035

705 Maple Rd
Williamsville, NY 14221-3291
Phone (716) 656-4077

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021981NYMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: calvarez@gppc.medentdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1508314592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MAPLE RD STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213291",
            "telephone_number": "716-710-8266",
            "fax_number": "716-710-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MAPLE RD STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213291",
            "telephone_number": "716-710-8266",
            "fax_number": "716-710-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10765",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.