Individual provider Active NPI

Iuliana Dit Bobanga, M.D.

  • Surgery Physician
  • Wasilla, AK
National Provider Identifier
1013232214
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
196849 Issued in AK
Practice address
3674 E Meridian Loop
Wasilla, AK 99654-7272
Phone
(907) 373-8100
NPI assigned
Mar 30, 2010
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.129320 OH
Surgery Physician 208600000X 196849 AK Primary

Addresses

Primary practice location

3674 E Meridian Loop
Wasilla, AK 99654-7272

Mailing address

PO Box 876774
Wasilla, AK 99687-6774
Phone (907) 373-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170720002329 OH Practitioner - General SurgeryPractitioner - Endocrinology 4688966625 Reassigns benefits to 1 organization
I20221019001408 AK Practitioner - General Surgery 4688966625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mat-Su Surgical Associates ApcGroup PAC ID 6901804046, 6 clinicians

Practice addresses (Care Compare)

3674 E Meeridian Loop
Wasilla, AK 99654
Phone (907) 373-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
89.74
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy35
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux22
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
196849AKMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mat-Su Surgical Associates Apc Surgery CurrentSince Nov 1, 2022 Accepting new patients
University Hospitals Medical Group Inc Surgery CurrentSince Sep 1, 2018 Accepting new patients

Locations

2490 S Woodworth Loop
Ste 450
Palmer, AK 99645
Phone (907) 563-8876

3674 E Meridian Loop
Wasilla, AK 99654
Phone (907) 373-8100

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1013232214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876774",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996876774",
            "telephone_number": "907-373-8100",
            "fax_number": "907-373-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 E MERIDIAN LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547272",
            "telephone_number": "907-373-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBANGA",
        "first_name": "IULIANA",
        "middle_name": "DIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.129320",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "196849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.