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LUIS CARLOS ALCALDE PHYSICIAN ASSISTANT
NPI 1376521229
Physician Assistant - Medical in Othello, WA

Active since January 01, 2006PECOS EnrolledAccepts Medicare Assignment
1515 E COLUMBIA ST, OTHELLO, WA 99344(509) 488-5256(509) 488-5256 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2021, Nov 23, 2020 (2 updates tracked since 2020).

About Luis Carlos Alcalde Physician Assistant NPPES

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

LUIS CARLOS ALCALDE PHYSICIAN ASSISTANT (NPI 1376521229) is an individual medical provider in Othello, Washington, licensed in Washington (PA10001584) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1376521229
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameLUIS CARLOS ALCALDECredential: PHYSICIAN ASSISTANT
Location Address1515 E COLUMBIA STOthello, WA 99344-1846
Mailing Address1515 E Columbia StOthello, WA 99344-1846 · (509) 488-5256 · Fax (509) 488-9939
Phone(509) 488-5256
Fax(509) 488-5256
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 1, 2006
Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
✔ NPI 1376521229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA10001584
1515 E COLUMBIA ST, Othello, WA 99344
Open in Google Maps ↗

Other Identifiers 1

Medicaid1037922WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Luis Carlos Alcalde Physician Assistant 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 ID9931168978
PECOS Enrollment IDI20150727001411
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.

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.

LAURA ELY
Nurse Practitioner (Family)
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
HEERA GOVINDARAJAN VENGUIDESVARANE DDS
Dentist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
MIKAYLA E ALONZO RDH
Dental Hygienist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
COLUMBIA BASIN HEALTH ASSOCIATION
Clinic/Center (Federally Qualified Health Center (FQHC))
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
DR. JI HYUNG CHOI D.D.S.
Dentist (General Practice)
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
STEVEN PITCHER DDS
Dentist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
SAMANTHA JO ESLINGER
Dental Hygienist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256
MICHELLE MARTINEZ
Nurse Practitioner (Psychiatric/Mental Health)
1515 E COLUMBIA ST
OTHELLO, WA 99344
Adams County (509) 488-5256

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 Luis Alcalde's NPI number?

The NPI number for Luis Alcalde is 1376521229. It was assigned to this individual provider in the NPPES registry on January 1, 2006.

Where is Luis Alcalde located?

Luis Alcalde practices at 1515 E Columbia St, Othello, WA 99344. The listed phone number is (509) 488-5256.

What is Luis Alcalde's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Luis Alcalde enrolled in Medicare?

Yes. Luis Alcalde 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 Luis Alcalde accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Luis Alcalde 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 Luis Alcalde was last updated on March 12, 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.