NICOLAS ALONSO (DO) – Student in an Organized Health Care Education/Training Program, NPI 1043666233

NICOLAS ALONSO (DO) is a healthcare provider. based in Conroe, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. BP10057685 (TX). The NPI Number for NICOLAS ALONSO (DO) is 1043666233

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
NICOLAS ALONSO (DO)
NPI
1043666233
Phone
(936) 539-4004
Address
605 S CONROE MEDICAL DR
Enumeration Date
6 May 2016
Last Update Date
6 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9362912116
Graduation Year
2016 (10 years ago)
PAC ID
8224320676
Group Practice PAC ID
2769446590
Professional Enrollment ID
I20190528001952
Address ID
TX773404981HU123XXLNXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

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Provider Addresses for NICOLAS ALONSO (DO)

  • 605, South Conroe Medical Drive, Conroe, Montgomery County, Texas, 77304, United States

    CONROE, TX 773044722

    Phone: (936) 539-4004

    Fax: (936) 539-3635

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $487.

Total Amount is formed as General ($487) + Research ($0) + Ownership ($0) = $487.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($109).

Total Amount

$487

General + Research + Ownership

Payments

26

Total payment records

General Amount

$487

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2019-05-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20190528001952IFamily PracticeTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1030Injection, methylprednisolone acetate, 40 mg96562$0
96372Injection of drug or substance under skin or into muscle91571$0
99214Established patient office or other outpatient visit, 30-39 minutes672296$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit135135$0
99213Established patient office or other outpatient visit, 20-29 minutes6957$0
View full utilization report →

Insurance plans in this area (ZIP 77304)

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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: 2769446590View full group profile
NameSpecialtyState
Pediatric Medicine, Internal MedicineTX
Family PracticeTX
-TX
Family PracticeTX
Family PracticeTX

Reviews

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Frequently asked questions

Does NICOLAS ALONSO (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICOLAS ALONSO (DO) uses 1043666233.
Does CMS list NICOLAS ALONSO (DO) as active?
Yes — NICOLAS ALONSO (DO) is active in the NPI listing used on this page.
What is NICOLAS ALONSO (DO) best known for clinically?
Directory data describes NICOLAS ALONSO (DO) with Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Where is NICOLAS ALONSO (DO) based?
NICOLAS ALONSO (DO) is tied to Conroe, Texas in the data we show; additional addresses may exist on the full record.
Is the information about NICOLAS ALONSO (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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