DR. ALVARO RODRIGO ENCINAS M.D.
NPI 1891900932
Family Medicine in Lincolnwood, IL

Q: What is Alvaro Encinas's NPI number?

The NPI number for Alvaro Encinas is 1891900932. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Q: What is Alvaro Encinas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Alvaro Encinas was last updated on August 21, 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.

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment

3926 W TOUHY AVE STE 332, LINCOLNWOOD, IL 60712(773) 796-4292 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2024, Jul 1, 2024, May 18, 2016 (3 updates tracked since 2016).

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About Dr. Alvaro Rodrigo Encinas M.d. NPPES

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

DR. ALVARO RODRIGO ENCINAS M.D. (NPI 1891900932) is an individual family medicine provider in Lincolnwood, Illinois, licensed in Illinois (036125218) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (2007).

NPPES Registry Identity

NPI1891900932

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ALVARO RODRIGO ENCINASCredential: M.D.

Location Address3926 W TOUHY AVE STE 332Lincolnwood, IL 60712-1028

Mailing Address3926 W Touhy Ave Ste 332Lincolnwood, IL 60712-1028 · (773) 796-4292

Phone(773) 796-4292

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMay 11, 2007

Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1891900932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036125218

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 59854-20 (WI)

3926 W TOUHY AVE STE 332, Lincolnwood, IL 60712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield 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

Dr. Alvaro Rodrigo Encinas 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 ID3375711856

PECOS Enrollment IDI20130116000476

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

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

Froedtert South, Inc.

39 mi

Family Medicine

6308 8TH AVE
Kenosha, WI 53143

Reassigned Medicare billing, Wisconsin enrollment
212 clinicians in this Medicare group

NPI 1558305284 (262) 656-2718

Vituity-Wisconsin Hm Sc

40 mi

Hospitalist

9555 76TH ST
Pleasant Prairie, WI 53158

Reassigned Medicare billing, Wisconsin enrollment
30 clinicians in this Medicare group

NPI 1679265912 (262) 577-8000

Mercy Health System Corporation

81 mi

Multi-Specialty

580 N WASHINGTON ST
Janesville, WI 53548

Reassigned Medicare billing, Wisconsin enrollment
1,155 clinicians in this Medicare group

NPI 1598718603 (608) 741-7630

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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

211 services92 patients

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.

188 services85 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

102 services66 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.

75 services34 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

74 services66 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

55 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number520021

Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County

Emergency services

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520066

Location1000 Mineral Point AveJanesville, WI 53548 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60712 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 Alvaro Encinas's NPI number?

The NPI number for Alvaro Encinas is 1891900932. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Alvaro Encinas located?

Alvaro Encinas practices at 3926 W Touhy Ave Ste 332, Lincolnwood, IL 60712. The listed phone number is (773) 796-4292.

What is Alvaro Encinas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alvaro Encinas enrolled in Medicare?

Yes. Alvaro Encinas 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 Alvaro Encinas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alvaro Encinas reassigns Medicare benefits to 3 organizations: Froedtert South, Inc. (Kenosha, WI), Vituity-Wisconsin Hm Sc (Pleasant Prairie, WI) and Mercy Health System Corporation (Janesville, WI). 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 Alvaro Encinas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alvaro Encinas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and Network Health list Alvaro Encinas 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 Alvaro Encinas affiliated with any hospitals?

According to CMS data, Alvaro Encinas is affiliated with Froedtert South Inc. and Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Alvaro Encinas was last updated on August 21, 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.