Active NPI
Alejandro J Alvarado, M.D.
- Internal Medicine Physician
- Highland, IL
National Provider Identifier
1780687640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-082478
- Practice address
- 12860 Troxler Ave
Highland, IL 62249-2898 - Phone
- (618) 651-2810
- Fax
- (618) 651-0077
- NPI assigned
- May 24, 2005
- Last updated
- Jan 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-082478 | IL | Primary |
Addresses
Primary practice location
12860 Troxler Ave
Highland, IL 62249-2898
Mailing address
12860 Troxler Ave
Highland, IL 62249-2898
Phone (618) 651-2810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036082478 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aalvarado100319@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060407000388 | IL | Practitioner - Internal Medicine | 9931117959 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-082478 | IL | MD | Internal Medicine Physician |
Interoperability endpoints
- aalvarado100319@ewd.direct.hshs.org
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| HSHS Medical Group Inc | Rural health clinic | Corporate Director | Mar 15, 2025 |
| HSHS Medical Group Family Medicine - Altamont | Rural health clinic | Corporate Officer | Feb 23, 2026 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba HSHS Medical Group Family Medicine - Altamont
- Rural Health Clinic/Center
- Altamont, IL
- NPI 1679108351
Corporate Officer
-
dba HSHS Medical Group Inc
- Rural Health Clinic/Center
- Highland, IL
- NPI 1851536296
Corporate Director
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1780687640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12860 TROXLER AVE",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "622492898",
"telephone_number": "618-651-2810",
"fax_number": "618-651-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12860 TROXLER AVE",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "622492898",
"telephone_number": "618-651-2810",
"fax_number": "618-651-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "ALEJANDRO",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-082478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036082478",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aalvarado100319@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "12860 Troxler Ave",
"city": "Highland",
"state": "IL",
"country_code": "US",
"postal_code": "622492898",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Highland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.