Individual provider Active NPI

Shaddin Tirhi, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1073095055
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
156352 Issued in AK
Practice address
636 Barrow St
Anchorage, AK 99501-3631
Phone
(907) 276-1315
Fax
(907) 278-7129
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 123456 AK
Physician Assistant 363A00000X 156352 AK Primary

Addresses

Primary practice location

636 Barrow St
Anchorage, AK 99501-3631

Mailing address

1406 W 41St Ave # a
Anchorage, AK 99503-6408

Other practice location 1

7010 E Bogard Rd Bldg 2
Wasilla, AK 99654-4711
Phone (907) 373-4732

Other practice location 2

550 W 7th Ave
Anchorage, AK 99501-3571
Phone (907) 269-7300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109001872 AK Practitioner - Physician Assistant 4789112335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Janine D Miller MD IncGroup PAC ID 1658802343, 4 clinicians

Practice addresses (Care Compare)

636 Barrow St
Anchorage, AK 99501-3631
Phone (907) 276-1315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123456AKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas P Senter Apc CurrentSince Nov 2, 2024 Accepting new patients

Locations

636 Barrow St
Anchorage, AK 99501
Phone (907) 276-1315

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1073095055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 W 41ST AVE # A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 BARROW ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013631",
            "telephone_number": "907-276-1315",
            "fax_number": "907-278-7129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7010 E Bogard Rd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996544711",
            "country_code": "US",
            "telephone_number": "907-373-4732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 W 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995013571",
            "country_code": "US",
            "telephone_number": "907-269-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIRHI",
        "first_name": "SHADDIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "123456",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "156352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.