ALVANCIN LOUIS (MD) – Vascular Surgery Physician, NPI 1770945768

ALVANCIN LOUIS (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. 036171472 (IL). The NPI Number for ALVANCIN LOUIS (MD) is 1770945768

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ALVANCIN LOUIS (MD)
NPI
1770945768
Phone
(904) 244-3903
Address
653 W 8TH ST
Enumeration Date
28 March 2016
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7022406482
Graduation Year
2016 (10 years ago)
PAC ID
6002102530
Group Practice PAC ID
5395746283
Professional Enrollment ID
I20240321000156
Address ID
NV891130137LA5225XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

490 VASCULAR SURGERY in FL

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Provider Addresses for ALVANCIN LOUIS (MD)

  • 653, West 8th Street, Jacksonville, Duval County, Florida, 32209, United States

    FACULTY CLINIC BLDG, 3RD FLOOR, BOX FC-12

    JACKSONVILLE, FL 322096511

    Phone: (904) 244-3903

    Fax: (904) 244-3020

    Type: Mailing

  • 4700 Las Vegas Blvd N

    Nellis AFB, NV 891916600

    Phone: (702) 653-2273

    Type: Location

  • 800 W. Central Rd.

    Suite 7100

    Arlington Heightts, IL 600052379

    Phone: (847) 618-3800

    Fax: (847) 392-7834

    Type: Location

  • 801 S RANCHO DR STE E6

    LAS VEGAS, NV 891063812

    Phone: (702) 240-6482

    Type: Mailing

  • 5225 S DURANGO DR

    LAS VEGAS, NV 891130137

    Phone: (702) 240-6482

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $6,921.

Total Amount is formed as General ($6,921) + Research ($0) + Ownership ($0) = $6,921.

Last reported payment date: 2024-12-28 • Largest payer in this snapshot: Penumbra, Inc. ($3,758).

Total Amount

$6,921

General + Research + Ownership

Payments

53

Total payment records

General Amount

$6,921

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240321000156IVascular SurgeryNVTBD
I20241021004340IVascular SurgeryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395746283View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineNV
Thoracic SurgeryCA
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyNV
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyNV
Cardiovascular Disease (Cardiology)NV
Nurse PractitionerNV
Cardiovascular Disease (Cardiology), Internal MedicineNV
Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology)NV
Cardiovascular Disease (Cardiology)NV

Reviews

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Frequently asked questions

Does ALVANCIN LOUIS (MD) have a public NPI I can cite?
Public records show ALVANCIN LOUIS (MD) under NPI 1770945768.
Is ALVANCIN LOUIS (MD) currently accepting referrals based on NPI status?
Registry metadata lists ALVANCIN LOUIS (MD) as active.
What type of care does ALVANCIN LOUIS (MD) provide?
ALVANCIN LOUIS (MD)'s profile centers on Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ALVANCIN LOUIS (MD)?
ALVANCIN LOUIS (MD) is associated with Jacksonville, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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