Individual provider Active NPI

Daryl M. McClendon, M.D., P.C.

  • Gastroenterology Physician
  • Anchorage, AK
National Provider Identifier
1013945948
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4215 Issued in AK
Practice address
3851 Piper Street
Suite U466
Anchorage, AK 99508-6905
Phone
(907) 569-1333
Fax
(907) 569-1433
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4215 AK Primary

Addresses

Primary practice location

3851 Piper Street
Suite U466
Anchorage, AK 99508-6905

Mailing address

3851 Piper Street
Suite U466
Anchorage, AK 99508-6905
Phone (907) 569-1333

Other identifiers 1

IdentifierTypeStateIssuer
MD4215MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090722000654 AK Practitioner - GastroenterologyPractitioner - Internal Medicine 2264429141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3851 Piper St
Suite U466
Anchorage, AK 99508-6905
Phone (907) 569-1333

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017

Merit-based Incentive Payment System (MIPS)

Final score
91.08 of 100Reported as individual
Quality
92.42
Improvement activities
40
Cost
80.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy155
Upper gastrointestinal (GI) endoscopy for acid reflux181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4215AKMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daryl M. McClendon, M.D., P.C. Gastroenterology CurrentSince Jul 1, 2001 Accepting new patients

Locations

3851 Piper St
Ste U466
Anchorage, AK 99508
Phone (800) 788-7465

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAFECA/Endpoint/HAFECA

Organizations & group practices 1

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

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1013945948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PIPER STREET",
            "address_2": "SUITE U466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086905",
            "telephone_number": "907-569-1333",
            "fax_number": "907-569-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER STREET",
            "address_2": "SUITE U466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086905",
            "telephone_number": "907-569-1333",
            "fax_number": "907-569-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "DARYL",
        "middle_name": "M.",
        "credential": "M.D., P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AK",
            "license": "4215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD4215",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.