DR. MADIHA M ALVI M.D.
NPI 1568690584
Internal Medicine - Endocrinology, Diabetes & Metabolism in Lakeland, FL

Active since June 29, 2009PECOS EnrolledAccepts Medicare Assignment
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 680-7190 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 6, 2024, May 14, 2024, Aug 30, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Madiha M Alvi M.d. NPPES

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

DR. MADIHA M ALVI M.D. (NPI 1568690584) is an individual endocrinology, diabetes & metabolism provider in Lakeland, Florida, licensed in Florida (ME167398) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cooperstown, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1568690584
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MADIHA M ALVICredential: M.D.
Location Address1600 LAKELAND HILLS BLVDLakeland, FL 33805-3065
Mailing Address1600 Lakeland Hills BlvdLakeland, FL 33805-3065 · (863) 680-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 29, 2009
Last NPPES UpdateSeptember 6, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1568690584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · ME167398
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1600 LAKELAND HILLS BLVD, Lakeland, FL 33805

Secondary Practice Location 1

Location 11 Atwell RdCooperstown, NY 13326-1394 · Phone (607) 547-3273 · Fax (607) 547-6648

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

Dr. Madiha M Alvi 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 ID244457208
PECOS Enrollment IDI20240806000376
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 Madiha Alvi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Internal Medicine
1600 LAKELAND HILLS BLVD
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 417 clinicians in this Medicare group
Internal Medicine
3228 COLD SPRINGS RD
Huntingdon, PA 16652
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
Multi-Specialty
1 ATWELL RD
Cooperstown, NY 13326
  • Reassigned Medicare billing, New York enrollment
  • 1,052 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 5

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 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.
82 services68 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.
65 services65 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
56 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
51 services51 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers25 claims60 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims15 services$1.13 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
3 suppliers12 claims1,720 services$4.51 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers219 claims222 services$183.89 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 20

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

Obstetrics & Gynecology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Nurse Practitioner
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Anesthesiology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Family Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805

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 Madiha Alvi's NPI number?

The NPI number for Madiha Alvi is 1568690584. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Madiha Alvi located?

Madiha Alvi practices at 1600 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 680-7190.

What is Madiha Alvi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Madiha Alvi enrolled in Medicare?

Yes. Madiha Alvi 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 Madiha Alvi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madiha Alvi reassigns Medicare benefits to 3 organizations: Watson Clinic LLP (Lakeland, FL), Geisinger Clinic (Huntingdon, PA) and Mary Imogene Bassett Hospital (Cooperstown, NY). 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 Madiha Alvi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madiha Alvi accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Madiha Alvi 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 Madiha Alvi was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.