NPIMap

Individual provider Active NPI

Nishith Naveena Chandra Alva, MD

  • Internal Medicine Physician
  • Edmond, OK
National Provider Identifier
1962998401
Registry record updated Feb 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38715 Issued in OK
Practice address
4801 Integris Pkwy
Edmond, OK 73034-8864
Phone
(405) 657-3120
Fax
(405) 657-3122
NPI assigned
Jul 9, 2018
Last updated
Feb 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2018013129 MO
Internal Medicine Physician 207R00000X 38715 OK Primary

Addresses

Primary practice location

4801 Integris Pkwy
Edmond, OK 73034-8864

Mailing address

4801 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 657-3120

Other practice location 1

3524 NW 56th St
Oklahoma City, OK 73112-4518
Phone (405) 657-3120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210817001645 MO Practitioner - HospitalistPractitioner - Internal Medicine 2466857255
I20211103000618 OK Practitioner - HospitalistPractitioner - Internal Medicine 2466857255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Care Physician Services LLCGroup PAC ID 5092839357, 11 clinicians

Practice addresses (Care Compare)

1409 Territories Dr
Edmond, OK 73034-2650
Phone (405) 657-3120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.19 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018013129MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Paradox Inc CurrentSince Jan 23, 2024 Accepting new patients
Integris Health Edmond, Inc Past Accepting new patients

Locations

3524 NW 56th St
Oklahoma City, OK 73112
Phone (405) 606-6700

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.

Hospital & facility affiliations 8

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1962998401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 INTEGRIS PKWY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348864",
            "telephone_number": "405-657-3120",
            "fax_number": "405-657-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 INTEGRIS PKWY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348864",
            "telephone_number": "405-657-3120",
            "fax_number": "405-657-3122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3524 NW 56th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124518",
            "country_code": "US",
            "telephone_number": "405-657-3120",
            "fax_number": "405-657-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVA",
        "first_name": "NISHITH",
        "middle_name": "NAVEENA CHANDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2018013129",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "38715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.