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ALFREDO J. FIALLO M.D.
NPI 1417931031
Internal Medicine - Nephrology in San Antonio, TX

Active since December 06, 2005PECOS Enrolled
400 BALTIMORE, SAN ANTONIO, TX 78215(210) 228-0743(210) 228-9749 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Alfredo J. Fiallo M.d. NPPES

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

ALFREDO J. FIALLO M.D. (NPI 1417931031) is an individual nephrology provider in San Antonio, Texas, licensed in Texas (H6815) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417931031
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameALFREDO J. FIALLOCredential: M.D.
Location Address400 BALTIMORESan Antonio, TX 78215-1919
Mailing Address7142 San Pedro Ave, Suite 120San Antonio, TX 78216-6256 · (210) 661-5622 · Fax (210) 395-4012
Phone(210) 228-0743
Fax(210) 228-9749
Sole ProprietorNo
Enumeration DateDecember 6, 2005
Last NPPES UpdateNovember 8, 2018
✔ NPI 1417931031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · H6815
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
400 BALTIMORE, San Antonio, TX 78215
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Other Identifiers 2

Medicaid118942503TX
Other390004412TX · Medicare Railroad

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alfredo J. Fiallo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78215 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers18 claims2,940 services$0.31 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers18 claims2,640 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers19 claims19 services$17.98 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers18 claims19 services$11.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

BASSEM ARAB MD
Internal Medicine (Nephrology)
400 BALTIMORE
SAN ANTONIO, TX 78215
Bexar County (210) 228-0743
ELZBIETA B. MCMURTRIE-JAYARAM M.D.
Internal Medicine (Nephrology)
400 BALTIMORE
SAN ANTONIO, TX 78215
Bexar County (210) 228-0743
SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Internal Medicine (Nephrology)
400 BALTIMORE
SAN ANTONIO, TX 78215
Bexar County (210) 228-0743

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 Alfredo Fiallo's NPI number?

The NPI number for Alfredo Fiallo is 1417931031. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Alfredo Fiallo located?

Alfredo Fiallo practices at 400 Baltimore, San Antonio, TX 78215. The listed phone number is (210) 228-0743.

What is Alfredo Fiallo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Alfredo Fiallo enrolled in Medicare?

Yes. Alfredo Fiallo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alfredo Fiallo was last updated on November 8, 2018. 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.