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

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: August 09, 2026.

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

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 Anthem Blue Cross and Blue Shield, Molina Healthcare, Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

What insurance does Alvaro Encinas accept?

Health plans from Anthem Blue Cross and Blue Shield, Molina Healthcare 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 23 months 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.