Individual provider Active NPI

Liliana Rincon Alzate, M.D.

  • Dermatopathology Physician
  • Atlanta, GA
National Provider Identifier
1891131769
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
102664 Issued in GA
Practice address
1901 Phoenix Blvd
Atlanta, GA 30349-5063
Phone
(800) 994-1030
NPI assigned
May 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X R6661 TX
Dermatopathology Physician 207ND0900X 102664 GA Primary

Addresses

Primary practice location

1901 Phoenix Blvd
Atlanta, GA 30349-5063

Mailing address

5301 Virginia Way Ste 300
Brentwood, TN 37027-7542
Phone (615) 221-4400

Other practice location 1

301 University Blvd
Galveston, TX 77555-4906
Phone (409) 772-1011

Other practice location 2

1501 Broadway St
Galveston, TX 77550-4906
Phone (409) 763-2452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180613001357 TX Practitioner - PathologyPractitioner - Other (Physician) 8527313618 Reassigns benefits to 4 organizations
I20250129001392 GA Practitioner - Pathology 8527313618 Reassigns benefits to 1 organization
I20250224001226 TN Practitioner - Pathology 8527313618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians

Practice addresses (Care Compare)

1901 Phoenix Blvd
Suite 210
Atlanta, GA 30349-5062
Phone (615) 221-4474

975 E 3Rd St
Chattanooga, TN 37403-2173
Phone (423) 778-7977

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6661TXMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermopath Laboratories, L.L.C. CurrentSince Oct 1, 2019 Accepting new patients
Sagis, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2021 Accepting new patients
Galveston Dermatology, P.a. Dermatopathology CurrentSince Oct 1, 2019 Accepting new patients
Houston Pathology Associates Anatomic Pathology & Clinical Pathology Current Accepting new patients
Utmb Faculty Group Practice Anatomic Pathology CurrentSince May 23, 2018 Accepting new patients
Clear Lake Pathology Partners LTD Anatomic Pathology & Clinical Pathology Current Accepting new patients
Galveston Dermatology, P.a. Current Accepting new patients
J S Wilkenfeld MD & Associates Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2021 Accepting new patients
Sagis PLLC CurrentSince Aug 1, 2021 Accepting new patients
Alliance Pathology Consultants PA Anatomic Pathology Current Accepting new patients
Associated Pathologists LLC PastSince Dec 9, 2024 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

1033 La Posada Dr
Ste 365
Austin, TX 78752

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1501 Broadway St
Ste C
Galveston, TX 77550
Phone (409) 621-5094

1501 Broadway St
Galveston, TX 77550
Phone (409) 763-2452

4131 Directors Row
Ste 496
Houston, TX 77092

4131 Directors Row
Houston, TX 77092
Phone (713) 586-6705

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

10918 Vance Jackson Rd
Ste 100
San Antonio, TX 78230
Phone (210) 558-9996

16906 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 243-1000

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1891131769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 VIRGINIA WAY STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277542",
            "telephone_number": "615-221-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PHOENIX BLVD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495063",
            "telephone_number": "800-994-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775554906",
            "country_code": "US",
            "telephone_number": "409-772-1011",
            "fax_number": "409-772-5683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775504906",
            "country_code": "US",
            "telephone_number": "409-763-2452",
            "fax_number": "409-763-2458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINCON ALZATE",
        "first_name": "LILIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "R6661",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "GA",
            "license": "102664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.