Alaska Specialty Hospital, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

731462 Issued in AK

Legal business name

ALASKA SPECIALTY HOSPITAL, LLC

Practice address

4800 Cordova St
Anchorage, AK 99503-7218

Phone

(907) 561-3333

Fax

(907) 561-3332

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Donald Wayne Anderson Jr.

Title

Assistant Secretary of Enrollments

Phone

(425) 358-9786

Specialties & licenses 1

Addresses

Other names 1

• PROVIDENCE ST ELIAS SPECIALTY HOSPITAL Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Hospital certification: CCN 022001

Legal name

ALASKA SPECIALTY HOSPITAL, LLC

Doing business as

PROVIDENCE ST ELIAS SPECIALTY HOSPITAL

Certification status

Active

Provider type (POS)

Hospital – Long-term

Participating since

Jan 1, 2008

Last certification

Aug 14, 2025

Beds

59

Ownership / control type

Private (not for profit)

Organization structure

LLCProprietary

Incorporated

May 9, 2005 in AK

Enrollment address

4800 Cordova St
Anchorage, AK 99503-7218
Main/Primary Hospital Location

Hospital subgroups

Long-term

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Alaska Specialty Hospital, LLC

  • Long Term Care Hospital
  • Anchorage, AK
  • NPI 1912965021

  O20060918000270

  Same enrollment

Listed as

St Elias Specialty HospitalCCN 022001

Ownership

Non-profit

Certified

Jan 1, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Beds

59

Locations

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Darryl A Elmouchi, MD

  • Clinical Cardiac Electrophysiology Physician
  • Grand Rapids, MI
  • NPI 1548240732

  Corporate Officer

  CMS ownership

Affiliated clinicians 21

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Shuang Ying Bao, M.D.

  • Nephrology Physician
  • Anchorage, AK
  • NPI 1164736930

  Inpatient rehabilitation facility

  Care Compare affiliation
• Ido Barkay, M.D

  • Hospitalist Physician
  • Anchorage, AK
  • NPI 1568751477

  Inpatient rehabilitation facility

  Care Compare affiliation
• Kathryn Buffey, D.O.

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1700267515

  Inpatient rehabilitation facility

  Care Compare affiliation
• Kelsey Ann Crowell, DO

  • Physical Medicine & Rehabilitation Physician
  • Anchorage, AK
  • NPI 1053923532

  Inpatient rehabilitation facility

  Care Compare affiliation
• Andrew Russell Edwards, MD

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1629697396

  Inpatient rehabilitation facility

  Care Compare affiliation
• Stefano Emili, MD

  • Nephrology Physician
  • Anchorage, AK
  • NPI 1558319434

  Inpatient rehabilitation facility

  Care Compare affiliation
• Erik K. Hauswald, MD

  • Hospitalist Physician
  • Anchorage, AK
  • NPI 1760919377

  Inpatient rehabilitation facility

  Care Compare affiliation
• Brian Mathew Jeppesen, M.D.

  • Hospitalist Physician
  • Anchorage, AK
  • NPI 1760773436

  Inpatient rehabilitation facility

  Care Compare affiliation
• Kathleen Gardner Judd

  • Hospitalist Physician
  • Anchorage, AK
  • NPI 1477013159

  Inpatient rehabilitation facility

  Care Compare affiliation
• Anthony Karl Larson, MD

  • Hospitalist Physician
  • Anchorage, AK
  • NPI 1053418004

  Inpatient rehabilitation facility

  Care Compare affiliation
• Kala L Maus, DO

  • Hospitalist Physician
  • Anchorage, AK
  • NPI 1699264903

  Inpatient rehabilitation facility

  Care Compare affiliation
• Lindsey Louise Migliore, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Anchorage, AK
  • NPI 1629430475

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1093979932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001 - 4166",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911104166",
            "telephone_number": "907-561-3333",
            "fax_number": "907-561-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 CORDOVA ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037218",
            "telephone_number": "907-561-3333",
            "fax_number": "907-561-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA SPECIALTY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AK",
            "license": "731462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE ST ELIAS SPECIALTY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alaska Regional Medical Group, LLC
• Alaska Retinal Consultants
• Alaska Shoulder and Orthopaedic Institute
• Alaska Sleep Disorder Center LLC
• Alaska Sleep Solutions LLC
• Alaska Specialty Hospital, LLC
• Alaska Specialty Hospital, LLC
• Alaska Speech & Hearing Clinic LLC
• Alaska Speech and Hearing
• Alaska Spine & Pain Center, LLC

• General Acute Care Hospital in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Acute Care Hospital in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.