ALFONSO Q ESTRADA M.D. NPI 1932168697

NPI Information

NPI: 1932168697
Provider Name: ALFONSO Q ESTRADA, M.D.
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

PECOS Registration: Yes

Address:
1429 N 6TH ST
TERRE HAUTE, IN
ZIP 47807
Phone: (812) 242-3175
Get Directions

Alfonso Q Estrada, M.D. is a clinical cardiac electrophysiology internal medicine in Terre Haute, IN. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. Alfonso Q Estrada, M.D. NPI is 1932168697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1429 N 6TH ST
TERRE HAUTE, IN
ZIP 47807-037
Phone: (812) 242-3175
Fax: (812) 242-3543

The NPI 1932168697 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 3/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		036-057641	ILLINOIS	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	01065735A	INDIANA	No
3	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	01065735A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	L26837	MEDICARE PIN	ILLINOIS
2	192770B7	MEDICARE PIN	INDIANA
3	IL3294008	MEDICARE PIN	ILLINOIS
4	C43809	MEDICARE UPIN	ILLINOIS
5	036057641	MEDICAID	ILLINOIS
6	265130B	MEDICARE PIN	INDIANA
7	P00818711	OTHER	INDIANA	RAILROAD MEDICARE
8	859910E3	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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