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MR. MARIO CARLOS PONCE ALVAREZ M.D.
NPI 1386930105
Internal Medicine - Pulmonary Disease in Atlanta, GA

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
720 WESTVIEW DR SW, ATLANTA, GA 30310(404) 752-1500 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Mario Carlos Ponce Alvarez M.d. NPPES

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

MR. MARIO CARLOS PONCE ALVAREZ M.D. (NPI 1386930105) is an individual pulmonary disease provider in Atlanta, Georgia, licensed in Georgia (79284) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1386930105
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMR. MARIO CARLOS PONCE ALVAREZCredential: M.D.
Location Address720 WESTVIEW DR SWAtlanta, GA 30310-1458
Mailing Address720 Westview Dr SwAtlanta, GA 30310-1458
Phone(404) 752-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 20, 2011
Last NPPES UpdateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
✔ NPI 1386930105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in GA · 79284
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.
720 WESTVIEW DR SW, Atlanta, GA 30310
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Mr. Mario Carlos Ponce 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 ID42513806
PECOS Enrollment IDI20181203002190
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

3

Medicare enrollment records show Mario Ponce Alvarez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emory Medical Care Foundation Inc
1.8 mi
Physical Medicine & Rehabilitation
80 JESSE HILL JR DR SE
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063678563 (404) 778-5014
Morehouse Healthcare, Inc.
4.3 mi
Cardiovascular Disease
1800 HOWELL MILL RD NW STE 275
Atlanta, GA 30318
  • Reassigned Medicare billing, Georgia enrollment
  • 322 clinicians in this Medicare group
NPI 1801832324 (404) 752-1000
The Emory Clinic Inc
6.2 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

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 4

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.

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.
76 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services28 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.
11 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30310 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

BRYAN OSAYAMHEN OKOSUN
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
UGOCHI GLADYS ANANABA
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
DR. THEODORA CHIDERA ABAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
DR. ALEX WALEED MOHAMMAD ALQUDAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1341
YOG VAGHANI
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
BRADFORD ZACHARY GRANT
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
NIRVANA ALLISON DURBAL
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
IVANNA ALEXIS WARD DO
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1383

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 Mario Ponce Alvarez's NPI number?

The NPI number for Mario Ponce Alvarez is 1386930105. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Mario Ponce Alvarez located?

Mario Ponce Alvarez practices at 720 Westview Dr SW, Atlanta, GA 30310. The listed phone number is (404) 752-1500.

What is Mario Ponce Alvarez's specialty?

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

Is Mario Ponce Alvarez enrolled in Medicare?

Yes. Mario Ponce 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.

Which organizations bill Medicare for Mario Ponce Alvarez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Ponce Alvarez reassigns Medicare benefits to 3 organizations: Emory Medical Care Foundation Inc (Atlanta, GA), Morehouse Healthcare, Inc. (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). 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 Mario Ponce Alvarez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Ponce Alvarez accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Mario Ponce 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 Mario Ponce Alvarez affiliated with any hospitals?

According to CMS data, Mario Ponce Alvarez is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mario Ponce Alvarez was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.