Individual provider Active NPI

Marc Alexander Alvarez, DPM

  • Podiatrist
  • Tallahassee, FL
National Provider Identifier
1710515317
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4490 Issued in FL
Practice address
1866 Buford Blvd
Tallahassee, FL 32308-4442
Phone
(850) 878-6998
Fax
(850) 656-9293
NPI assigned
Mar 30, 2020
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4490 FL Primary

Addresses

Primary practice location

1866 Buford Blvd
Tallahassee, FL 32308-4442

Mailing address

1866 Buford Blvd
Tallahassee, FL 32308-4442
Phone (850) 878-6998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230618000007 FL Practitioner - Podiatry 7517381031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Podiatry Associates PAGroup PAC ID 1759333198, 5 clinicians

Practice addresses (Care Compare)

1866 Buford Blvd
Tallahassee, FL 32308-4442
Phone 8508786998112

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of skin lesions1-10
Removal of nail tissue383
Removal or shaving of skin growth100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4490FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Podiatry Associates PA Podiatrist CurrentSince Apr 1, 2023 Accepting new patients
Tallahassee Podiatry Associates PA Podiatrist CurrentSince Apr 1, 2023 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. PastSince Apr 1, 2020 Accepting new patients

Locations

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

1866 Buford Blvd
Tallahassee, FL 32308
Phone (850) 878-6998

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1b51b01a-cf35-4022-974c-7633d8b348f9/

Organizations & group practices 4

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 1

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1710515317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 BUFORD BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084442",
            "telephone_number": "850-878-6998",
            "fax_number": "850-656-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 BUFORD BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084442",
            "telephone_number": "850-878-6998",
            "fax_number": "850-656-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "MARC",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.