Active NPI
Irving Adrian Alvarado Gonzalez, MD
- Surgical Critical Care Physician
- Jackson, MS
National Provider Identifier
1700447034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 38007
- Practice address
- 2500 N State St
Jackson, MS 39216-4505 - Phone
- (601) 984-1113
- NPI assigned
- Jun 26, 2019
- Last updated
- Sep 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 38007 | MS | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | TX | ||
| Family Medicine Physician | 207Q00000X | RS2019-0443 | NM |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4505
Mailing address
2500 N State St
Jackson, MS 39216-4505
Phone (601) 984-1113
Other practice location 1
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (575) 521-5385
Other practice location 2
4800 Alberta Ave
El Paso, TX 79905-2700
Phone (915) 215-4670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS2019-0443 | NM | MD | Family Medicine Physician |
| 38007 | MS | MD | Surgical Critical Care Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1700447034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164505",
"telephone_number": "601-984-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164505",
"telephone_number": "601-984-1113"
}
],
"practiceLocations": [
{
"address_1": "2450 S Telshor Blvd",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880115069",
"country_code": "US",
"telephone_number": "575-521-5385",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 Alberta Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052700",
"country_code": "US",
"telephone_number": "915-215-4670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALVARADO GONZALEZ",
"first_name": "IRVING",
"middle_name": "ADRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-26",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MS",
"license": "38007",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "RS2019-0443",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.