Individual provider Active NPI

Alvin Clark Elauria, ACNPC-AG

  • Acute Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1760158695
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1051567 Issued in TX
Practice address
9106 Addison RDG
San Antonio, TX 78254-4480
Phone
(727) 557-9015
NPI assigned
Aug 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1051567 TX Primary

Addresses

Primary practice location

9106 Addison RDG
San Antonio, TX 78254-4480

Mailing address

9106 Addison RDG
San Antonio, TX 78254-4480
Phone (727) 557-9015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210828000186 TX Practitioner - Nurse Practitioner 6901201920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medcare Associates PAGroup PAC ID 5294714580, 28 clinicians

Practice addresses (Care Compare)

1434 E Sonterra Blvd
Suite 206
San Antonio, TX 78258-4973
Phone (210) 402-3456

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1051567TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ips LLC CurrentSince Sep 1, 2021 Accepting new patients
Medcare Associates, P.a. CurrentSince Apr 1, 2025 Accepting new patients
Medcare Associates PA Past Accepting new patients

Locations

1051 US Highway 90 E
Castroville, TX 78009
Phone (830) 931-3336

1434 E Sonterra Blvd
Ste 206
San Antonio, TX 78258
Phone (210) 402-3456

4458 Medical Dr
Ste 505
San Antonio, TX 78229

19260 Stone Oak Pkwy
Ste 105
San Antonio, TX 78258
Phone (210) 402-3456

4499 Medical Dr
#150
San Antonio, TX 78229
Phone (210) 614-8181

Organizations & group practices 3

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 3

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1760158695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9106 ADDISON RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782544480",
            "telephone_number": "727-557-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 ADDISON RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782544480",
            "telephone_number": "727-557-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAURIA",
        "first_name": "ALVIN",
        "middle_name": "CLARK",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1051567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.