NPIMap

Individual provider Active NPI

Luis Mathew Alva, DO

  • Emergency Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1508488420
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
7309 Issued in OK
Practice address
4200 S Douglas Ave Ste 306
Oklahoma City, OK 73109-3215
Phone
(405) 636-7195
NPI assigned
May 13, 2020
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 7309 OK Primary

Addresses

Primary practice location

4200 S Douglas Ave Ste 306
Oklahoma City, OK 73109-3215

Mailing address

4200 S Douglas Ave Ste 306
Oklahoma City, OK 73109-3215
Phone (405) 636-7195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210818003307 OK Practitioner - Emergency Medicine 0244635969 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Nova Southeastern College of Osteo Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of Mid-America PCGroup PAC ID 2062638661, 86 clinicians

Practice addresses (Care Compare)

1500 N Green Ave
Purcell, OK 73080-1642
Phone (405) 527-6524

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Oklahoma TCS LLC Emergency Medicine CurrentSince Jan 9, 2024 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Mar 20, 2022 Accepting new patients
Farmers Union Hospital Association CurrentSince Sep 1, 2021 Accepting new patients
Farmers Union Hospital Association CurrentSince Sep 1, 2021 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Mar 20, 2022 Accepting new patients
Nes Oklahoma, Inc. Emergency Medicine CurrentSince May 31, 2023 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients

Locations

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

Interoperability endpoints

  • Direct secure messaging: lalva405165@direct-ehr-ssmhc.com

Organizations & group practices 10

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 2

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": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1508488420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S DOUGLAS AVE STE 306",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093215",
            "telephone_number": "405-636-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S DOUGLAS AVE STE 306",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093215",
            "telephone_number": "405-636-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVA",
        "first_name": "LUIS",
        "middle_name": "MATHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "7309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.