SERGIO ALBERTO ALVAREZ PA-C
NPI 1689371908
Physician Assistant - Surgical in Naples, FL

NPI Status: Active since February 08, 2023

Contact Information

6101 PINE RIDGE RD STE 101
NAPLES, FL
ZIP 34119
Phone: (239) 649-1662
Fax: (239) 649-7053

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  • Individual
  • Male
  • Years of Experience 5
  • Physician Assistant
  • Surgical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SERGIO ALVAREZ

This page provides the complete NPI Profile along with additional information for Sergio Alvarez, a provider established in Naples, Florida with a medical specialization in Physician Assistant, focusing in surgical and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1689371908 assigned on February 2023. The practitioner's primary taxonomy code is 363AS0400X with license number PA9117067 (FL). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1689371908
Provider Name
SERGIO ALBERTO ALVAREZ PA-C
Gender
Male
Entity Type
Individual
Location Address
6101 PINE RIDGE RD STE 101 NAPLES, FL 34119
Location Phone
(239) 649-1662
Location Fax
(239) 649-7053
Mailing Address
3451 PINE RIDGE RD BLDG 601 NAPLES, FL 34109
Mailing Phone
(239) 449-3072
Mailing Fax
(239) 649-7053
Medical School Name
OTHER
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
02-08-2023
Last Update Date
02-17-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA9117067
License State
FL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA9117067 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PA9117067OTHER (01)FLFLORIDA MEDICAL LICENSE

Medicare Participation & PECOS Enrollment Status

Sergio Alvarez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Sergio Alvarez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5698140879

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230403000190

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sergio Alvarez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NAPLES COMMUNITY HOSPITAL350 7TH ST N
NAPLES, FL 34102
(239) 624-4002Acute Care Hospitals
PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE6101 PINE RIDGE ROAD
NAPLES, FL 34119
(239) 304-5145Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689371908, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 3 → 6 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 6 + 7 + 2 + 9 + 0 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1689371908.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Neurological Surgery
6101 PINE RIDGE RD STE 101
NAPLES, FL 34119
Nurse Practitioner
6101 PINE RIDGE RD STE 101
NAPLES, FL 34119
Neurological Surgery
6101 PINE RIDGE RD STE 101
NAPLES, FL 34119
Physician Assistant (Surgical)
6101 PINE RIDGE RD STE 101
NAPLES, FL 34119
Neurological Surgery
6101 PINE RIDGE RD STE 101
NAPLES, FL 34119
Physician Assistant
6101 PINE RIDGE RD STE 101
NAPLES, FL 34119
Neurological Surgery
6101 PINE RIDGE RD STE 101
NAPLES, FL 34119
Physician Assistant (Surgical)
6101 PINE RIDGE RD STE 101
NAPLES, FL 34119
Psychiatry & Neurology (Neurology)
6101 PINE RIDGE RD STE 101
NAPLES, FL 34119
Nurse Practitioner (Family)
6101 PINE RIDGE RD STE 101
NAPLES, FL 34119
Physician Assistant (Surgical)
6101 PINE RIDGE RD STE 101
NAPLES, FL 34119
Neurological Surgery
6101 PINE RIDGE RD STE 101
NAPLES, FL 34119
Physician Assistant (Surgical)
6101 PINE RIDGE RD STE 101
NAPLES, FL 34119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689371908, enumerated as an "individual" on February 08, 2023.

The provider is located at 6101 PINE RIDGE RD STE 101 NAPLES, FL 34119 and the phone number is (239) 649-1662.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Sergio Alvarez is affiliated with: NAPLES COMMUNITY HOSPITAL and PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE.