NPIMap

Organization Active NPI

Internal Medicine Associates, LLC

  • Gastroenterology Physician
  • Anchorage, AK
National Provider Identifier
1043294648
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
INTERNAL MEDICINE ASSOCIATES, LLC
Practice address
2841 Debarr Rd Ste 50
Anchorage, AK 99508-2945
Phone
(907) 276-2811
Fax
(907) 276-2810
NPI assigned
Dec 6, 2005
Organization subpart
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

Authorized official

Name
Geronimo Sahagun, MDNPI 1043292865
Title
Managing Physician & Ceo
Phone
(907) 276-2811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X

Addresses

Primary practice location

2841 Debarr Rd Ste 50
Anchorage, AK 99508-2945

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
MDG284MedicaidAK

Other names 1

  • Internal Medicine Associates, Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040518000154 AK Part B Supplier - Clinic/Group Practice 5496745788 Receives reassigned benefits from 11 practitioners
Practice locations: Anchorage, AK; Wasilla, AK

National Provider Directory

National Provider Directory

Locations

2841 Debarr Rd
Ste 51
Anchorage, AK 99508
Phone (907) 222-3636

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

1919 Lathrop St
Ste 121
Fairbanks, AK 99701
Phone (907) 452-4828

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1043294648",
    "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 RD STE 50",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082945",
            "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": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "SAHAGUN",
        "authorized_official_first_name": "GERONIMO",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN & CEO",
        "authorized_official_telephone_number": "907-276-2811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG284",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Associates, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Internal Medicine Associates, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.