Ernerio T. Alboliras, MD
Individual provider Active NPI Pediatric Cardiology Physician · Scottsdale, AZ
NPI 1851376883 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1851376883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- License
- 35712 (AZ)
- Practice address
- 9440 E Ironwood Square Dr
Scottsdale, AZ 85258-4569 - Phone
- (480) 756-6000
- Fax
- (480) 467-2165
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 31
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Board of Trustees of the University of Illinois
Osf Multi-Specialty Group
Practice addresses (Care Compare)
1 Illini Dr
Peoria, IL 61605-2576
Phone (309) 671-3173
302 Saint Joseph Dr
Bloomington, IL 61701-3506
Phone (309) 624-5100
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050623000956 | IL | Practitioner - Cardiovascular Disease (Cardiology) |
5597700104 | Reassigns benefits to 2 organizations |
| I20210818002598 | IL | Practitioner - Pediatric Medicine | 5597700104 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036085819 | IL | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Pediatrics | Current |
Accepting new patients |
| The Board of Trustees of the University of Illinois | Current |
Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Genesis Health System | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Fetal and Women'S Center of Arizona, LLC | Past | Accepting new patients |
Locations
1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191
302 Saint Joseph Dr
Bloomington, IL 61701
Phone (309) 662-5361
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
7694 Solutions Ctr
Chicago, IL 60677
515 Valley View Dr
Moline, IL 61265
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000
801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 036085819 | IL | |
| Pediatric Cardiology Physician | 2080P0202X | 35712 | AZ | Yes |
Addresses
Primary practice location
9440 E Ironwood Square Dr
Scottsdale, AZ 85258-4569
Mailing address
PO Box 206289
Dallas, TX 75320-6289
Phone (480) 756-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036085819 / 03 | Medicaid | IL | |
| 114574 | Medicaid | AZ | |
| 01621679 | Other | IL | BCBS OF IL |
Other providers in Scottsdale, AZ
- Amanda Alberti-Correa
- Alberto M Guerrero MD PLLC
- Albertsons LLC
- Albertsons LLC
- Albertsons LLC
- Albright Hospice Inc
- Bridget Kathleen Albright
- Sally Alcott
- Mustafa Aldabbagh
- Hasan Aldailami
All providers in Scottsdale, AZ · Pediatric Cardiology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.