Individual provider Active NPI

David Michael Henzler, MD

  • Neurology Physician
  • Anchorage, AK
National Provider Identifier
1063588184
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
114232 Issued in AK
Practice address
1100 E Dimond Blvd
Anchorage, AK 99515-2010
Phone
(907) 565-6000
Fax
(907) 565-6001
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 114232 AK Primary

Addresses

Primary practice location

1100 E Dimond Blvd
Anchorage, AK 99515-2010

Mailing address

1100 E Dimond Blvd
Anchorage, AK 99515-2010
Phone (907) 565-6000

Other practice location 1

222 N 7th St
Bismarck, ND 58501-4436
Phone (701) 323-5422

Other practice location 2

12128 N Division St
#219
Spokane, WA 99218-1905
Phone (509) 489-3879

Other identifiers 1

IdentifierTypeStateIssuer
1727366MedicaidAK

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
I20170918001366 AK Practitioner - Neurology 5698803443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Kansas School of Med (KC/Wich/Sal), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alaska Neurology Center LLCGroup PAC ID 2163512328, 7 clinicians

Practice addresses (Care Compare)

1100 E Dimond Blvd
Anchorage, AK 99515-2010
Phone (907) 565-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
69.59
Promoting interoperability
99
Improvement activities
40
Cost
75.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114232AKMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Neurology Center LLC Neurology CurrentSince Aug 2, 2017 Accepting new patients

Locations

1100 E Dimond Blvd
Anchorage, AK 99515
Phone (907) 565-6000

Interoperability endpoints

  • Direct secure messaging: dhenzler327134@ak.providencedirect.org

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 1

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1063588184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E DIMOND BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152010",
            "telephone_number": "907-565-6000",
            "fax_number": "907-565-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E DIMOND BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152010",
            "telephone_number": "907-565-6000",
            "fax_number": "907-565-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014436",
            "country_code": "US",
            "telephone_number": "701-323-5422",
            "fax_number": "701-323-6249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12128 N Division St",
            "address_2": "#219",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181905",
            "country_code": "US",
            "telephone_number": "509-489-3879",
            "fax_number": "509-484-1823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENZLER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AK",
            "license": "114232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1727366",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.