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DR. GONZALO IVAR HIDALGO M.D. NPI 1679640254


NPI Information

NPI: 1679640254
Provider Name: DR. GONZALO IVAR HIDALGO, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3311 PRESCOTT RD
SUITE 216
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 443-0490
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DR. Gonzalo Ivar Hidalgo, M.D. is a specialist in Alexandria, LA with 23 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Gonzalo Ivar Hidalgo, M.D. NPI is 1679640254. 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:

3311 PRESCOTT RD
SUITE 216
ALEXANDRIA, LA
ZIP 71301-900
Phone: (318) 443-0490
Fax: (318) 443-0690

The NPI 1679640254 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)
  • Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)
  • Neuropsychological testing evaluation by qualified health care professional, first 60 minutes (HCPCS:96132)
  • Measurement and recording of brain wave (eeg) activity, awake and drowsy (HCPCS:95816)
  • Measurement and recording of brain wave (eeg) activity, awake and asleep (HCPCS:95819)

The enumeration date for this NPI number is 11/29/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist025214LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H51389MEDICARE UPINLOUISIANA
24A824MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
31108162MEDICAIDLOUISIANA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.