Individual provider Active NPI

Rebeca E Piantini Alvarez, MD

  • Pediatrics Physician
  • Red Oak, TX
National Provider Identifier
1821018680
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L0512 Issued in TX
Practice address
556 Bluebird LN
Red Oak, TX 75154-4251
Phone
(972) 617-6660
Fax
(469) 218-0070
NPI assigned
Jul 21, 2006
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G69929 CA
Pediatrics Physician 208000000X L0512 TX Primary

Addresses

Primary practice location

556 Bluebird LN
Red Oak, TX 75154-4251

Mailing address

556 Bluebird LN
Red Oak, TX 75154-4251
Phone (972) 617-6660

Other practice location 1

1935 Motor Street
Dallas, TX 75235
Phone (214) 456-7661

Other practice location 2

1935 Motor Street
Dallas, TX 75235
Phone (214) 456-7661

Other identifiers 2

IdentifierTypeStateIssuer
186986901MedicaidTX
00G699290MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G69929CAMDPediatrics Physician
L0512TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians and Allied Health Professionals Group, PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rpa@tp.pcc-direct.com

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1821018680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 BLUEBIRD LN",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544251",
            "telephone_number": "972-617-6660",
            "fax_number": "469-218-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 BLUEBIRD LN",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544251",
            "telephone_number": "972-617-6660",
            "fax_number": "469-218-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 Motor Street",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75235",
            "country_code": "US",
            "telephone_number": "214-456-7661",
            "fax_number": "214-456-6390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1935 Motor Street",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75235",
            "country_code": "US",
            "telephone_number": "214-456-7661",
            "fax_number": "214-456-6390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIANTINI ALVAREZ",
        "first_name": "REBECA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G69929",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L0512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186986901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G699290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.