DR. ALVIN THALAPPILLIL MD
NPI 1093205767
Internal Medicine in Pittsburgh, PA

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3459 5TH AVE # 9S, PITTSBURGH, PA 15213(412) 692-4888(412) 692-4499 Get Directions Write a Review

NPPES record last updated: February 13, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 13, 2021, May 17, 2018 (2 updates tracked since 2018).

About Dr. Alvin Thalappillil Md NPPES

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

DR. ALVIN THALAPPILLIL MD (NPI 1093205767) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MT215668) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Upmc Mckeesport Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (2018).

NPPES Registry Identity

NPI1093205767
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ALVIN THALAPPILLILCredential: MD
Location Address3459 5TH AVE # 9SPittsburgh, PA 15213-3236
Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410
Fax(412) 692-4499
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2018
Enumeration DateMay 17, 2018
Last NPPES UpdateFebruary 13, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2021
✔ NPI 1093205767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MT215668
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3459 5TH AVE # 9S, Pittsburgh, PA 15213

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alvin Thalappillil Md 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 ID42611071
PECOS Enrollment IDI20210629001247
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alvin Thalappillil reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3500 5TH AVE, 4TH FLOOR
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Hematology & Oncology
5115 CENTRE AVE, 3RD FLOOR
Pittsburgh, PA 15232
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 202 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
85 services84 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
73 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Mckeesport Hospital

Acute Care Hospitals · Mc Keesport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390002
Location1500 Fifth AvenueMc Keesport, PA 15132 · Allegheny County
Emergency services

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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 Alvin Thalappillil's NPI number?

The NPI number for Alvin Thalappillil is 1093205767. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Alvin Thalappillil located?

Alvin Thalappillil practices at 3459 5th Ave # 9S, Pittsburgh, PA 15213. The listed phone number is (412) 692-4888.

What is Alvin Thalappillil's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alvin Thalappillil enrolled in Medicare?

Yes. Alvin Thalappillil 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.

Which organizations bill Medicare for Alvin Thalappillil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alvin Thalappillil reassigns Medicare benefits to 2 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA) and Oncology Hematology Association Inc (Pittsburgh, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alvin Thalappillil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alvin Thalappillil affiliated with any hospitals?

According to CMS data, Alvin Thalappillil is affiliated with Upmc Mckeesport Hospital, Upmc Jameson, Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Alvin Thalappillil was last updated on February 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.