Individual provider Active NPI

Alvin Jose

  • Emergency Medicine Physician
  • Shreveport, LA
National Provider Identifier
1528635208
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U3898 Issued in TX
Practice address
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone
(318) 626-1034
NPI assigned
Jun 9, 2021
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X OS21255 FL
Emergency Medicine Physician 207P00000X U3898 TX Primary

Addresses

Primary practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-1034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX, FL, AR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230725000244 LA Practitioner - Emergency Medicine 3072973965 Reassigns benefits to 7 organizations
I20230825003338 TX Practitioner - Emergency Medicine 3072973965 Reassigns benefits to 6 organizations
I20240801002575 FL Practitioner - Emergency Medicine 3072973965 Reassigns benefits to 2 organizations
I20250918000981 AR Practitioner - Emergency Medicine 3072973965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
William Carey University College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Highland Emergency Group, LLCGroup PAC ID 6800295890, 42 clinicians
Morehouse General HospitalGroup PAC ID 4284528274, 34 clinicians
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians

Practice addresses (Care Compare)

13139 Sorrento Rd
Pensacola, FL 32507-8777
Phone (850) 746-0020

1808 W Main St
Russellville, AR 72801-2724
Phone (501) 968-2841

2531 Viking Dr
Bossier City, LA 71111-2103
Phone (318) 681-7000

323 W Walnut Ave
Bastrop, LA 71220-4521
Phone (318) 283-3621

811 S Washington Ave
Marshall, TX 75670-5336
Phone (903) 927-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
74.02
Improvement activities
40
Cost
78.41

Merit-based Incentive Payment System (MIPS)

Final score
98.13 of 100Reported as group
Quality
90.84
Improvement activities
40
Cost
77.24

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

Merit-based Incentive Payment System (MIPS)

Final score
83.62 of 100Reported as group
Quality
70.88
Improvement activities
40
Cost
75.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS21255FLMDEmergency Medicine Physician
U3898TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Central Texas PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Highland Emergency Group, LLC Emergency Medicine CurrentSince Dec 4, 2023 Accepting new patients
Kisatchie Emergency Group, LLC Emergency Medicine CurrentSince Dec 4, 2023 Accepting new patients
Webster Emergency Group LLC Emergency Medicine CurrentSince Dec 4, 2023 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Bryan Emergency Physicians PA Emergency Medicine CurrentSince Jan 8, 2025 Accepting new patients
Pensacola Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 17, 2024 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Jefferson Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 8, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 15, 2024 Accepting new patients
Oakdale Ess LLC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Nov 11, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 15, 2024 Accepting new patients
Morehouse General Hospital CurrentSince Sep 6, 2025 Accepting new patients
Pensacola Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 17, 2024 Accepting new patients
Ess Hospitalist LLC CurrentSince Jul 1, 2023 Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine CurrentSince Jan 21, 2025 Accepting new patients
Morehouse General Hospital CurrentSince Sep 6, 2025 Accepting new patients
Morehouse Parish Hospital Service District 1 Past Accepting new patients

Locations (25 of 31)

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

13139 Sorrento Rd
Pensacola, FL 32507
Phone (850) 492-0543

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

108 6th Ave
Kinder, LA 70648
Phone (337) 738-2527

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

240 Highland Dr
Many, LA 71449
Phone (318) 256-5691

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 5

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1528635208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "ALVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS21255",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U3898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.