Individual provider Active NPI

Adan Alvarez, MD

  • Family Medicine Physician
  • Bellaire, TX
National Provider Identifier
1821343963
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q9112 Issued in TX
Practice address
5410 Bellaire Blvd Ste D
Bellaire, TX 77401-3964
Phone
(713) 571-4214
NPI assigned
Jul 15, 2012
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q9112 TX Primary

Addresses

Primary practice location

5410 Bellaire Blvd Ste D
Bellaire, TX 77401-3964

Mailing address

5410 Bellaire Blvd Ste D
Bellaire, TX 77401-3964
Phone (713) 571-4214

Other identifiers 1

IdentifierTypeStateIssuer
361590802MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Office@luxeprimarypractice.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817002142 TX Practitioner - Family Practice 2163664202 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Anesthesia Consultants, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Emergency Hospital Systems LLC CurrentSince Jun 3, 2024 Accepting new patients
Primary Care Associates Family Medicine Past Accepting new patients

Locations

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1902/brand/6/csg/45/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/4693/brand/6/csg/1/fhir/r4
  • Direct secure messaging: office@luxeprimarypractice.com

Organizations & group practices 3

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": "1342310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1821343963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 BELLAIRE BLVD STE D",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013964",
            "telephone_number": "713-571-4214",
            "fax_number": "713-571-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 BELLAIRE BLVD STE D",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013964",
            "telephone_number": "713-571-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "ADAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-15",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361590802",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Office@luxeprimarypractice.com",
            "affiliation": "N",
            "address_1": "5410 Bellaire Blvd Ste D",
            "city": "Bellaire",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774013964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.