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DR. NESTOR A ALVARADO MD
NPI 1861554461
Pediatrics in Germantown, MD

Active since December 14, 2006PECOS Enrolled
20904 SENECA MEADOWS PKWY, GERMANTOWN, MD 20876(240) 686-3160(240) 686-3110 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nestor A Alvarado Md NPPES

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

DR. NESTOR A ALVARADO MD (NPI 1861554461) is an individual pediatrics provider in Germantown, Maryland, licensed in Maryland (D0050386) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861554461
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. NESTOR A ALVARADOCredential: MD
Location Address20904 SENECA MEADOWS PKWYGermantown, MD 20876-7005
Mailing Address2101 East Jefferson Street Ppqa Medicare Comp. Unit 6, Kaiser Permanente Mid Atlantic Permanente Medical GroupRockville, MD 20852-4908 · (301) 816-6660 · Fax (301) 816-6308
Phone(240) 686-3160
Fax(240) 686-3110
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1861554461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MD · D0050386✔ Licensed in DC · MD30819
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
20904 SENECA MEADOWS PKWY, Germantown, MD 20876
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nestor A Alvarado Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Nestor Alvarado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
3.9 mi
Health Maintenance Organization
655 WATKINS MILL RD
Gaithersburg, MD 20879
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,492 clinicians in this Medicare group
NPI 1831471713 (301) 258-7700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20876 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Nestor Alvarado's NPI number?

The NPI number for Nestor Alvarado is 1861554461. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Nestor Alvarado located?

Nestor Alvarado practices at 20904 Seneca Meadows Pkwy, Germantown, MD 20876. The listed phone number is (240) 686-3160.

What is Nestor Alvarado's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nestor Alvarado enrolled in Medicare?

Yes. Nestor Alvarado is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nestor Alvarado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nestor Alvarado reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Gaithersburg, MD). The 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 Nestor Alvarado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nestor Alvarado was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.