NPIMap

Individual provider Active NPI

Geronimo Sahagun, MD

  • Gastroenterology Physician
  • Anchorage, AK
National Provider Identifier
1043292865
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
3857 Issued in AK
Practice address
2841 Debarr Road
Suite 50
Anchorage, AK 99508-2932
Phone
(907) 276-2811
Fax
(907) 276-2810
NPI assigned
Nov 17, 2005
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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 3857 AK Primary

Addresses

Primary practice location

2841 Debarr Road
Suite 50
Anchorage, AK 99508-2932

Mailing address

2841 Debarr Road
Suite 50
Anchorage, AK 99508-2932
Phone (907) 276-2811

Other practice location 1

3505 E Meridian Park Loop Ste 220
Wasilla, AK 99654-7294
Phone (907) 276-2811

Other identifiers 1

IdentifierTypeStateIssuer
MD38571MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625001001 AK Practitioner - Gastroenterology 5799760526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Iowa, RJ & L Carver College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates LLCGroup PAC ID 5496745788, 7 clinicians

Practice addresses (Care Compare)

2841 Debarr Rd
Suite 50
Anchorage, AK 99508-2945
Phone (907) 276-2811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.03
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy178
Upper gastrointestinal (GI) endoscopy for acid reflux218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3857AKMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates, LLC Gastroenterology CurrentSince Jul 1, 2004 Accepting new patients

Locations

2841 Debarr Rd
Ste 50
Anchorage, AK 99508
Phone (907) 276-2811

3505 E Meridian Park Loop
Ste 220
Wasilla, AK 99654
Phone (907) 276-2811

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1043292865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 DEBARR ROAD",
            "address_2": "SUITE 50",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082932",
            "telephone_number": "907-276-2811",
            "fax_number": "907-276-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 DEBARR ROAD",
            "address_2": "SUITE 50",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082932",
            "telephone_number": "907-276-2811",
            "fax_number": "907-276-2810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 E Meridian Park Loop Ste 220",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547294",
            "country_code": "US",
            "telephone_number": "907-276-2811",
            "fax_number": "907-276-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHAGUN",
        "first_name": "GERONIMO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AK",
            "license": "3857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD38571",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.