NPIMap

Individual provider Active NPI

Nathaniel Vaughn Alvis, D.O.

  • Family Medicine Physician
  • Dunlap, IA
National Provider Identifier
1861634008
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4148 Issued in IA
Practice address
707 Iowa Ave
Dunlap, IA 51529-1335
Phone
(712) 643-2298
NPI assigned
Apr 2, 2009
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 756 NE
Family Medicine Physician 207Q00000X 4148 IA Primary

Addresses

Primary practice location

707 Iowa Ave
Dunlap, IA 51529-1335

Mailing address

704 Iowa Ave
Dunlap, IA 51529-1336
Phone (712) 643-2298

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110321000049 IA Practitioner - Family Practice 9537342167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

631 N 8TH St
Alegent Creighton Clinic Missouri Valley
Missouri Valley, IA 51555-1102
Phone (712) 642-2784

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as apm
Quality
82.13
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
756NEMDSocial Worker
4148IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Current Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients
DT Valley LLC Past Accepting new patients

Locations

631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2045

Interoperability endpoints

  • Direct secure messaging: nalvis37981@achce.catholichealth.net

Organizations & group practices 4

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1861634008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 IOWA AVE",
            "city": "DUNLAP",
            "state": "IA",
            "postal_code": "515291336",
            "telephone_number": "712-643-2298",
            "fax_number": "712-643-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 IOWA AVE",
            "city": "DUNLAP",
            "state": "IA",
            "postal_code": "515291335",
            "telephone_number": "712-643-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVIS",
        "first_name": "NATHANIEL",
        "middle_name": "VAUGHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "756",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "4148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunlap, IA

Sources for this page

Verify at the official NPI Registry.