ADVANCED PAIN RELIEF INSTITUTE
NPI 1992117717
Pain Medicine - Interventional Pain Medicine in San Antonio, TX
About Advanced Pain Relief Institute NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED PAIN RELIEF INSTITUTE (NPI 1992117717) is a healthcare organization registered as an interventional pain medicine in San Antonio, Texas and active in the NPI registry since May 2014. The organization lists Ricardo A Alvarado, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Pain Relief Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Advanced Pain Relief Institute, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 R A Alvarado Medical PLLC's NPI number?
The NPI number for R A Alvarado Medical PLLC is 1992117717. It was assigned to this organization in the NPPES registry on May 28, 2014. The provider is doing business as Advanced Pain Relief Institute.
Where is R A Alvarado Medical PLLC located?
R A Alvarado Medical PLLC is located at 4100 E Piedras Dr Ste 165, San Antonio, TX 78228. The listed phone number is (210) 910-6653.
What is R A Alvarado Medical PLLC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is R A Alvarado Medical PLLC enrolled in Medicare?
Yes. R A Alvarado Medical PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through R A Alvarado Medical PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to R A Alvarado Medical PLLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Clinical Psychologist (1) and Pain Management (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for R A Alvarado Medical PLLC was last updated on May 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Advanced Pain Relief Institute · NPI 1992117717
Interventional Pain Medicine organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since May 28, 2014.
## Identity
- **NPI:** 1992117717 (Entity type: Organization)
- **Enumerated:** May 28, 2014
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Legal business name:** R A Alvarado Medical Pllc
- **Organization subpart:** No
- **Authorized official:** Ricardo Alvarado, PHYSICIAN OWNER
## Practice location
- **Address:** 4100 E PIEDRAS DR STE 165, San Antonio, TX 78228
- **Phone:** (210) 910-6653 · **Fax:** (210) 910-5568
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Clinical Psychologist (1), Pain Management (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 25, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1992117717) · Data from the CMS NPPES public registry.