NPIMap

Individual provider Active NPI

Mirtha Yobana Aguilar Alvarado, M.D.

  • Family Medicine Physician
  • Dunwoody, GA
National Provider Identifier
1760778591
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
74160 Issued in GA
Practice address
4500 N Shallowford Rd
Dunwoody, GA 30338-6476
Phone
(404) 778-6920
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 4

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Emory Clinic Inc 3,507 clinicians
Esop Rehabilitation LLC 224 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Atlanta, GA 30345-2711

875 Flat Shoals Rd SE
Conyers, GA 30094-6640
Phone (770) 785-7669

Hospital & facility affiliations

  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Emory University Hospital Hospital, Atlanta, GA, CCN 110010
  • Saint Joseph'S Hospital of Atlanta, Inc Hospital, Atlanta, GA, CCN 110082

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20151221001495 GA Practitioner - Family Practice 1355568726 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74160GAMDFamily Medicine Physician
036133609ILMDFamily Medicine Physician
125.059083ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Hospital, Inc. CurrentSince Nov 17, 2015 Accepting new patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Northside Hospital, Inc. CurrentSince Nov 17, 2015 Accepting new patients
Gwinnett Medical Group, Inc Family Medicine Current Accepting new patients
The Emory Clinic Inc CurrentSince Jun 1, 2019 Accepting new patients
Emory Health Care Past Accepting new patients
Crawford Long Hospital Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

Interoperability endpoints

  • Direct secure messaging: maguilaralvarado32208@direct.emory.org

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036133609 IL
Student in an Organized Health Care Education/Training Program 390200000X 125.059083 IL
Family Medicine Physician 207Q00000X 74160 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

4500 N Shallowford Rd
Dunwoody, GA 30338-6476

Mailing address

4500 N Shallowford Rd
Dunwoody, GA 30338-6476
Phone (404) 778-6920

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2019.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1760778591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N SHALLOWFORD RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386476",
            "telephone_number": "404-778-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N SHALLOWFORD RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386476",
            "telephone_number": "404-778-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR ALVARADO",
        "first_name": "MIRTHA",
        "middle_name": "YOBANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036133609",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125.059083",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "74160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

Verify at the official NPI Registry.