Active NPI
Daryl M. McClendon, M.D., P.C.
- Gastroenterology Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4215
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD4215 | Medicaid | AK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- 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
- Alaska Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.08 of 100
- Quality
- 92.42
- Improvement activities
- 40
- Cost
- 80.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 155 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 181 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4215 | AK | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daryl M. McClendon, M.D., P.C. | Gastroenterology | Current | Accepting new patients |
Locations
3851 Piper St
Ste U466
Anchorage, AK 99508
Phone (800) 788-7465
Interoperability endpoints
- 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.
-
- Gastroenterology Physician
- Anchorage, AK
- NPI 1013145002
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.