Active NPI
William Alvarez, M.D.
- Gastroenterology Physician
- Manitowoc, WI
National Provider Identifier
1780792887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 46006
- Practice address
- 1900 Woodland Dr
Manitowoc, WI 54220-9662 - Phone
- (920) 320-6212
- Fax
- (920) 684-5548
- NPI assigned
- Aug 28, 2006
- Last updated
- Jul 3, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 46006 | WI | Primary |
Addresses
Primary practice location
1900 Woodland Dr
Manitowoc, WI 54220-9662
Mailing address
PO Box 2290
Manitowoc, WI 54221-2290
Phone (920) 320-2591
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34429800 | Medicaid | WI | |
| H96061 | Other | WI | CIGNA |
| 14832 | Other | WI | NETWORK HEALTH PLAN |
| P00088531 | Other | WI | RAILROAD MEDICARE |
| 390806395 | Other | WI | ANTHEM |
| 46006 | Other | WI | TOUCHPOINT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert Manitowoc Medical Group, LLC | Current | Accepting new patients | |
| Lakeshore Radiology Associates SC | Past | Accepting new patients |
Locations
2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011
1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011
Organizations & group practices 2
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.
-
dba Froedtert Northeast Medical Group
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
-
- Diagnostic Radiology Physician
- Manitowoc, WI
- NPI 1346265915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341273600000",
"number": "1780792887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2290",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542212290",
"telephone_number": "920-320-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 WOODLAND DR",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542209662",
"telephone_number": "920-320-6212",
"fax_number": "920-684-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2012-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "46006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34429800",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "H96061",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH PLAN",
"identifier": "14832",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00088531",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "390806395",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOUCHPOINT",
"identifier": "46006",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.