ALVARO ALEJANDRO ALDANA MD
NPI 1295739274
Internal Medicine - Interventional Cardiology in Birmingham, AL

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
3686 GRANDVIEW PKWY, SUITE 720, BIRMINGHAM, AL 35243(205) 971-7500 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alvaro Alejandro Aldana Md NPPES

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

ALVARO ALEJANDRO ALDANA MD (NPI 1295739274) is an individual interventional cardiology provider in Birmingham, Alabama, licensed in Alabama (21584) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1295739274
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameALVARO ALEJANDRO ALDANACredential: MD
Location Address3686 GRANDVIEW PKWY, SUITE 720Birmingham, AL 35243-3407
Mailing Address3686 Grandview Pkwy, Suite 720Birmingham, AL 35243-3407 · (205) 971-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJune 8, 2005
Last NPPES UpdateFebruary 11, 2016
NPI 1295739274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in AL · 21584
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 21584 (AL)
3686 GRANDVIEW PKWY, Birmingham, AL 35243

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

Alvaro Alejandro Aldana 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 ID2062608730
PECOS Enrollment IDI20101119000567
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 21

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
312 services224 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.
211 services102 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
173 services44 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
110 services55 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.
60 services56 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.
58 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Internal Medicine (Hematology & Oncology)
3686 GRANDVIEW PKWY, SUITE 510
BIRMINGHAM, AL 35243
Nurse Practitioner (Family)
3686 GRANDVIEW PKWY
BIRMINGHAM, AL 35243
Internal Medicine (Pulmonary Disease)
3686 GRANDVIEW PKWY, SUITE 500
BIRMINGHAM, AL 35243
Internal Medicine (Sleep Medicine)
3686 GRANDVIEW PKWY, SUITE 500
BIRMINGHAM, AL 35243
Internal Medicine (Pulmonary Disease)
3686 GRANDVIEW PKWY, SUITE 500
BIRMINGHAM, AL 35243
Surgery
3686 GRANDVIEW PKWY, STE 810
BIRMINGHAM, AL 35243
Internal Medicine (Pulmonary Disease)
3686 GRANDVIEW PKWY, SUITE 500
BIRMINGHAM, AL 35243
Pharmacist
3686 GRANDVIEW PKWY
BIRMINGHAM, AL 35243

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 Alvaro Aldana's NPI number?

The NPI number for Alvaro Aldana is 1295739274. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Alvaro Aldana located?

Alvaro Aldana practices at 3686 Grandview Pkwy Suite 720, Birmingham, AL 35243. The listed phone number is (205) 971-7500.

What is Alvaro Aldana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Alvaro Aldana enrolled in Medicare?

Yes. Alvaro Aldana 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 Alvaro Aldana accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Alvaro Aldana 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 Alvaro Aldana was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.