{
  "npi": "1255405452",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2023-09-21",
    "credential": "M.D.",
    "enumeration_date": "2006-11-20",
    "first_name": "MANUEL",
    "last_name": "ALVA",
    "last_updated": "2023-09-21",
    "middle_name": "E.",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "6832 OGDEN AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BERWYN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "708-795-1521",
      "postal_code": "604023643",
      "state": "IL",
      "telephone_number": "708-795-0890"
    },
    {
      "address_1": "5625 BENTLEY AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CLARENDON HILLS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "630-325-2993",
      "postal_code": "605141509",
      "state": "IL",
      "telephone_number": "630-325-2655"
    }
  ],
  "taxonomies": [
    {
      "code": "207RG0100X",
      "desc": "Internal Medicine, Gastroenterology",
      "license": "036085880",
      "primary": true,
      "state": "IL",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1255405452",
      "LAST_NAME": "ALVA",
      "FIRST_NAME": "MANUEL",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "Y"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "184",
    "total_services": "469",
    "total_medicare_allowed_amt": "57021.98",
    "top_hcpcs_services": [
      {
        "code": "43239",
        "description": "Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope",
        "services": "76",
        "beneficiaries": "75"
      },
      {
        "code": "45378",
        "description": "Diagnostic exam of large bowel using a flexible endoscope",
        "services": "15",
        "beneficiaries": "15"
      },
      {
        "code": "45380",
        "description": "Biopsy of large bowel using a flexible endoscope",
        "services": "23",
        "beneficiaries": "23"
      },
      {
        "code": "45385",
        "description": "Removal of polyps or growths of large bowel using an endoscope with mechanical snare",
        "services": "50",
        "beneficiaries": "50"
      },
      {
        "code": "99203",
        "description": "New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",
        "services": "49",
        "beneficiaries": "49"
      },
      {
        "code": "99204",
        "description": "New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",
        "services": "41",
        "beneficiaries": "41"
      },
      {
        "code": "99213",
        "description": "Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more",
        "services": "28",
        "beneficiaries": "27"
      },
      {
        "code": "99214",
        "description": "Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",
        "services": "53",
        "beneficiaries": "47"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)",
    "certifying_board": "American Board of Internal Medicine — Gastroenterology",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "10",
        "medicare_type": "Physician/Gastroenterology"
      },
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      }
    ]
  }
}