Pervez A Alvi, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Farmington, MO
NPI 1932160348 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1932160348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 2000166656 (MO)
- Practice address
- 1103 W Liberty St
Farmington, MO 63640-1921 - Phone
- (573) 756-6751
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blessing Hospital
Practice addresses (Care Compare)
100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400
927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423
Hospital & facility affiliations
- Blessing Hospital
- Hannibal Regional Hospital
- Illini Community Hospital
- Pike County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, 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 |
|---|---|---|---|---|
| I20050401000036 | MO | Practitioner - Cardiovascular Disease (Cardiology) | 8022065234 | Reassigns benefits to 1 organization |
| I20200203000885 | IL | Practitioner - Cardiovascular Disease (Cardiology) | 8022065234 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036087169 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current |
Accepting new patients | |
| Rockford Health Physicians | Current |
Accepting new patients | |
| Blessing Hospital | Current |
Accepting new patients | |
| Poplar Bluff Hma Physician Management, LLC | Cardiovascular Disease | Past | Accepting new patients |
| SSM St. Charles Clinic Medical Group, Inc. | Past | Accepting new patients | |
| SSM Health Care St. Louis | Cardiovascular Disease | Past | Accepting new patients |
| North Texas Cardiology LLP | Past |
Accepting new patients | |
| Blessing Hospital | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444
1005 Broadway St
Quincy, IL 62301
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200
101 Medical Dr
Hannibal, MO 63401
100 Medical Dr
Hannibal, MO 63401
103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377
Interoperability endpoints
- https://api.platform.athenahealth.com/14520/brand/1/csg/1/fhir/r4
- https://fhir.blessinghospital.com/R4/open-Prod
- pervezalvi@blessinghs.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036087169 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 2000166656 | MO | Yes |
Addresses
Primary practice location
1103 W Liberty St
Farmington, MO 63640-1921
Mailing address
1103 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6751
Other practice location 1
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 629-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205710700 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Other providers in Farmington, MO
- Heidi Allen
- Michelle Allen
- Kathryn Kay Allgier
- Alliance Oncology LLC
- Alternative Access Counseling
- Americare at Maplebrook Assisted Living, LLC
- Americare at Maplebrook Skilled Nursing LLC
- Americare at Southbrook Nursing Center, LLC
- Amin Nephrology and Hypertension Specialists, Inc
- Mohammad Zaheer Amin
All providers in Farmington, MO · Cardiovascular Disease Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. 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.