ROGER MARTIN ALVARADO
NPI 1265430243
Internal Medicine in Mobile, AL

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
83.85/100
CMS Quality Rating
1700 SPRING HILL AVE, SUITE 100, MOBILE, AL 36604(251) 435-1200(251) 435-6357 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roger Martin Alvarado NPPES

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

ROGER MARTIN ALVARADO (NPI 1265430243) is an individual internal medicine provider in Mobile, Alabama, licensed in Alabama (00023619) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1997).

NPPES Registry Identity

NPI1265430243
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROGER MARTIN ALVARADO
Location Address1700 SPRING HILL AVE, SUITE 100Mobile, AL 36604-1407
Mailing Address1700 Spring Hill Ave, Suite 100Mobile, AL 36604-1407 · (251) 435-1200 · Fax (251) 435-6357
Fax(251) 435-6357
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1997
Enumeration DateJuly 13, 2005
Last NPPES UpdateMarch 20, 2019
✔ NPI 1265430243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 00023619
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.
1700 SPRING HILL AVE, Mobile, AL 36604

Other Identifiers 3

Other0411643AL · United Healthcare
Medicaid009940790AL
Other051098399AL · Bcbs

Accepted Insurance

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

Roger Martin Alvarado 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 ID5496669400
PECOS Enrollment IDI20040301000726
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 Roger Alvarado reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1700 SPRINGHILL AVE, SUITE 100
Mobile, AL 36604
  • Reassigned Medicare billing, Alabama enrollment
  • 210 clinicians in this Medicare group
Internal Medicine
1720 SPRING HILL AVE STE 401
Mobile, AL 36604
  • Reassigned Medicare billing, Alabama enrollment
  • 11 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 35

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
221 services33 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
220 services118 patients
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.
212 services111 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
197 services119 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
195 services117 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
160 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36604 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

83.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability81
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1700 SPRING HILL AVE, SUITE 100
MOBILE, AL 36604
Internal Medicine (Gastroenterology)
1700 SPRING HILL AVE
MOBILE, AL 36604
Internal Medicine (Rheumatology)
1700 SPRING HILL AVE, SUITE 100
MOBILE, AL 36604
Internal Medicine
1700 SPRING HILL AVE, SUITE 100
MOBILE, AL 36604
Internal Medicine (Rheumatology)
1700 SPRING HILL AVE, SUITE 100
MOBILE, AL 36604
Nurse Practitioner (Family)
1700 SPRING HILL AVE, 100
MOBILE, AL 36604
Nurse Practitioner (Acute Care)
1700 SPRING HILL AVE, SUITE 100
MOBILE, AL 36604
Internal Medicine
1700 SPRING HILL AVE, SUITE 100
MOBILE, AL 36604

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 Roger Alvarado's NPI number?

The NPI number for Roger Alvarado is 1265430243. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Roger Alvarado located?

Roger Alvarado practices at 1700 Spring Hill Ave Suite 100, Mobile, AL 36604. The listed phone number is (251) 435-1200.

What is Roger Alvarado's specialty?

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

Is Roger Alvarado enrolled in Medicare?

Yes. Roger Alvarado 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 Roger Alvarado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Alvarado reassigns Medicare benefits to 2 organizations: Imc-Diagnostic And Medical Clinic LLC (Mobile, AL) and Mobile Infirmary Association (Mobile, AL). 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 Roger Alvarado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roger Alvarado accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Roger Alvarado 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.

When was this NPI record last updated?

The NPPES record for Roger Alvarado was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.