Individual provider Active NPI

Jacqueline Alvarez, M.D.

  • Diagnostic Radiology Physician
  • Seattle, WA
National Provider Identifier
1720406572
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101268876 Issued in VA
Practice address
1959 NE Pacific St
Seattle, WA 98195-7115
Phone
(206) 598-6483
Fax
(206) 543-6317
NPI assigned
Mar 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101268876 VA Primary

Addresses

Primary practice location

1959 NE Pacific St
Seattle, WA 98195-7115

Mailing address

10401 Spotsylvania Ave Ste 200
Fredericksburg, VA 22408-8606
Phone (540) 361-1000

Other practice location 1

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1100

Other names 1

  • Dr. Jackie Alvarez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IL, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200604002604 VA Practitioner - Diagnostic Radiology 5890004337 Reassigns benefits to 3 organizations
I20220805000779 IL Practitioner - Diagnostic Radiology 5890004337
I20230920000087 FL Practitioner - Diagnostic Radiology 5890004337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Howard University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohri LLCGroup PAC ID 4981912169, 130 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

398 E Altamonte Dr
Altamonte Springs, FL 32701-4402
Phone (407) 331-9355

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohri, LLC Diagnostic Radiology Current Accepting new patients
Ohri, LLC CurrentSince Nov 1, 2023 Accepting new patients
Ohi West Medical Group, LLC Diagnostic Radiology CurrentSince Nov 2, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 20, 2023 Accepting new patients
Ohri, LLC CurrentSince Nov 1, 2023 Accepting new patients
Radiologic Associates of Fredericksburg LTD Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Chesapeake Radiologists LTD Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Radiologic Associates of Fredericksburg LTD CurrentSince Jul 1, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2023 Accepting new patients
Crawford Hospital District Current Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 20, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2023 Accepting new patients

Locations

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

52 Underwood St
#153
Orlando, FL 32806
Phone (321) 841-2558

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

10401 Spotsylvania Ave
Ste 200
Fredericksburg, VA 22408
Phone (540) 842-6884

1300 Hospital Dr
Ste 100
Fredericksburg, VA 22401
Phone (540) 741-3250

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

8644 Sudley Rd
#220
Manassas, VA 20110

6600 W Broad St
Ste 200
Richmond, VA 23230
Phone (804) 376-8568

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 12

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 6

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": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1720406572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 SPOTSYLVANIA AVE STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088606",
            "telephone_number": "540-361-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981957115",
            "telephone_number": "206-598-6483",
            "fax_number": "206-543-6317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Sam Perry Blvd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014453",
            "country_code": "US",
            "telephone_number": "540-741-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-30",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101268876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "ALVAREZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.