Anthony Alvarez Nidea, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

750 S State St
FTP
Elgin, IL 60123-7612

Phone

(847) 742-1040

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659496255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S STATE ST",
            "address_2": "FTP",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237612",
            "telephone_number": "847-742-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S STATE ST",
            "address_2": "FTP",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237612",
            "telephone_number": "847-742-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDEA",
        "first_name": "ANTHONY",
        "middle_name": "ALVAREZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esmeralda Nicanor
• Lindsay Nickels
• Dale Charles Nickelsen, D.D.S.
• Jon D Nickelsen, DDS
• Souphaphone Bounmythavong Nicksic, CRNA
• Eric Nielsen
• Michael Nikolov, M.D.
• Asim Nisar, M.D.
• Nighat Nisar, M.D.
• Nisha Shah

• Internal Medicine Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.