NPIMap

Individual provider Active NPI

Alva Dillon Jr., M.D.

  • Gastroenterology Physician
  • Ocean Springs, MS
National Provider Identifier
1699775171
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
07522 Issued in MS
Practice address
3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone
(228) 872-6291
Fax
(228) 872-7627
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 07522 MS Primary

Addresses

Primary practice location

3890 Bienville Blvd
Ocean Springs, MS 39564-5803

Mailing address

3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone (228) 872-6291

Other identifiers 1

IdentifierTypeStateIssuer
00121451MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040313000766 MS Practitioner - GastroenterologyPractitioner - Internal Medicine 2163311440 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

4500 W Railroad St
Gulfport, MS 39501-2479
Phone (228) 863-8836

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.9 of 100Reported as group
Quality
47.44
Promoting interoperability
98
Improvement activities
40
Cost
77.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy155
Upper gastrointestinal (GI) endoscopy for acid reflux216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
07522MSMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Sep 1, 2024 Accepting new patients
Gastrointestinal Associates, P.a. Gastroenterology Current Accepting new patients
Gastrointestinal Associates, PA CurrentSince Jun 19, 2023 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
University Internal Medicine Assoc LLP Past Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

1720A Medical Park Dr
Ste 300
Biloxi, MS 39532
Phone (228) 702-1500

4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451

4500 W Railroad St
Gulfport, MS 39501
Phone (228) 863-8836

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

3890 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6291

3616 Hospital St
Ste A
Pascagoula, MS 39581
Phone (228) 872-7684

Interoperability endpoints

  • Direct secure messaging: alvadillon@dhc.allscriptsdirect.net

Organizations & group practices 8

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 63

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1699775171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645803",
            "telephone_number": "228-872-6291",
            "fax_number": "228-872-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645803",
            "telephone_number": "228-872-6291",
            "fax_number": "228-872-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "ALVA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "07522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121451",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.