DR. VANESSA ALVAREZ M.D.
NPI 1023034196
Internal Medicine - Pulmonary Disease in Elgin, IL

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
1710 N RANDALL RD STE 260, ELGIN, IL 60123(847) 931-7900 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2024, Jan 5, 2023, Apr 19, 2022 and 2 more (5 updates tracked since 2019).

About Dr. Vanessa Alvarez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VANESSA ALVAREZ M.D. (NPI 1023034196) is an individual pulmonary disease provider in Elgin, Illinois, licensed in Texas (S9090) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Heartland Regional Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1023034196
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. VANESSA ALVAREZCredential: M.D.
Location Address1710 N RANDALL RD STE 260Elgin, IL 60123-9402
Mailing Address1710 N Randall Rd, Ste 260Elgin, IL 60123-9402 · (847) 931-7900 · Fax (847) 931-1562
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 14, 2006
Last NPPES UpdateSeptember 3, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
NPI 1023034196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in TX · S9090 Licensed in NY · 229965 Licensed in IL · 036-150072 Licensed in MD · D65179 Licensed in NM · MD2012-0867
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 229965 (NY), D65179 (MD), MD2012-0867 (NM)
1710 N RANDALL RD STE 260, Elgin, IL 60123

Other Identifiers 2

Medicaid02751453NY
Medicaid41886046NM

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Vanessa Alvarez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971506072
PECOS Enrollment IDI20060810000106, I20220103001790
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
258 services152 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
187 services61 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
53 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
26 services26 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

The Medical Center Of Southeast Texas

Acute Care Hospitals · Port Arthur, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450518
Location2555 Jimmy Johnson BlvdPort Arthur, TX 77640 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers16 claims16 services$82.72 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers12 claims33 services$30.56 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers18 claims100 services$14.37 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers26 claims26 services$58.81 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers23 claims23 services$19.37 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
8 suppliers34 claims34 services$16.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
1710 N RANDALL RD STE 260
ELGIN, IL 60123
Internal Medicine (Pulmonary Disease)
1710 N RANDALL RD STE 260
ELGIN, IL 60123
Internal Medicine (Pulmonary Disease)
1710 N RANDALL RD STE 260
ELGIN, IL 60123
Internal Medicine (Critical Care Medicine)
1710 N RANDALL RD STE 260
ELGIN, IL 60123
Nurse Practitioner
1710 N RANDALL RD STE 260
ELGIN, IL 60123
Nurse Practitioner
1710 N RANDALL RD STE 260
ELGIN, IL 60123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vanessa Alvarez's NPI number?

The NPI number for Vanessa Alvarez is 1023034196. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Vanessa Alvarez located?

Vanessa Alvarez practices at 1710 N Randall Rd Ste 260, Elgin, IL 60123. The listed phone number is (847) 931-7900.

What is Vanessa Alvarez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Vanessa Alvarez enrolled in Medicare?

Yes. Vanessa Alvarez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vanessa Alvarez accept?

Health plans from Blue Cross and Blue Shield of Texas and HMO Louisiana list Vanessa Alvarez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vanessa Alvarez affiliated with any hospitals?

According to CMS data, Vanessa Alvarez is affiliated with Heartland Regional Medical Center, Canton-Potsdam Hospital and The Medical Center Of Southeast Texas.

When was this NPI record last updated?

The NPPES record for Vanessa Alvarez was last updated on September 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.