Individual provider Active NPI

Jonathan Alvaro, APN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1811353089
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013656 Issued in IL
Practice address
6141 N Cicero Ave
Chicago, IL 60646
Phone
(773) 293-8787
NPI assigned
Jan 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209013656 IL Primary

Addresses

Primary practice location

6141 N Cicero Ave
Chicago, IL 60646

Mailing address

2740 W Foster Ave Ste 310
Chicago, IL 60625-3547
Phone (773) 878-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20191002001956 AZ Practitioner - Nurse Practitioner 0244534212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Dermatology LLCGroup PAC ID 5698850543, 19 clinicians

Practice addresses (Care Compare)

1343 N Alma School Rd
Suite 135
Chandler, AZ 85224-5941
Phone (480) 982-3337

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Az Dermatology LLC CurrentSince Feb 15, 2022 Accepting new patients
Az Dermatology CurrentSince Feb 15, 2022 Accepting new patients

Locations

1821 N Trekell Rd
Ste 2
Casa Grande, AZ 85122
Phone (520) 316-9317

1876 E Sabin Dr
Bldg B
Casa Grande, AZ 85122
Phone (480) 982-3337

1343 N Alma School Rd
Ste 135
Chandler, AZ 85224
Phone (480) 444-7472

959 N McQueen Rd
Chandler, AZ 85225
Phone (480) 982-3337

3930 S Alma School Rd
Ste B
Chandler, AZ 85248
Phone (480) 982-3337

6788 S Kings Ranch Rd
Ste 104
Gold Canyon, AZ 85118

6788 S Kings Ranch Rd
Ste 23
Gold Canyon, AZ 85118

6724 S Kings Ranch Rd
Ste 104
Gold Canyon, AZ 85118
Phone (480) 982-3337

4540 E Baseline Rd
Mesa, AZ 85206
Phone (480) 983-3337

4540 E Baseline Rd
Ste 109
Mesa, AZ 85206
Phone (480) 488-3388

13650 N 99th Ave
Ste 101
Sun City, AZ 85351

15405 N 99th Ave
Sun City, AZ 85351
Phone (623) 977-9000

Interoperability endpoints

  • Direct secure messaging: j.alvaro@atozderm.emadirect.md

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1811353089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253547",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60646",
            "telephone_number": "773-293-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARO",
        "first_name": "JONATHAN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-04",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.