NPIMap

Organization Active NPI

Chugach Anesthesia, LLC

  • Anesthesiology Physician
  • Anchorage, AK
National Provider Identifier
1093712358
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CHUGACH ANESTHESIA, LLC
Practice address
4100 Lake Otis Pkwy Ste 222
Anchorage, AK 99508-5230
Phone
(907) 550-6111
Fax
(907) 550-6326
NPI assigned
Jul 1, 2005
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Brion J. Beerle, MDNPI 1821094889
Title
Member Manager
Phone
(907) 550-6111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X AK Primary

Addresses

Primary practice location

4100 Lake Otis Pkwy Ste 222
Anchorage, AK 99508-5230

Mailing address

14700 28TH Ave N Ste 20
Plymouth, MN 55447-4876
Phone (763) 559-3779

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041109001035 AK Part B Supplier - Clinic/Group Practice 2961465653 Receives reassigned benefits from 79 practitioners
Practice locations: Kenai, AK; Anchorage, AK

National Provider Directory

National Provider Directory

Locations

1230 Northway Dr
Anchorage, AK 99508
Phone (907) 550-6100

188 W Northern Lights Blvd
Ste 110
Anchorage, AK 99503
Phone (907) 205-0332

4048 Laurel St
Ste 103A
Anchorage, AK 99508
Phone (907) 563-1750

4100 Lake Otis Pkwy
Ste 212
Anchorage, AK 99508
Phone (907) 550-6100

4100 Lake Otis Pkwy
Ste 222
Anchorage, AK 99508
Phone (907) 550-6100

Practitioners & affiliated clinicians

Practitioners 114

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 114

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1093712358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 28TH AVE N STE 20",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474876",
            "telephone_number": "763-559-3779",
            "fax_number": "763-450-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY STE 222",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085230",
            "telephone_number": "907-550-6111",
            "fax_number": "907-550-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUGACH ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "BEERLE",
        "authorized_official_first_name": "BRION",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "907-550-6111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 6, 2023; 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.