Individual provider Active NPI

Christopher James Sahlstrom, MD

  • Family Medicine Physician
  • Wasilla, AK
National Provider Identifier
1104858604
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6506 Issued in AK
Practice address
4961 E Mayflower LN
Wasilla, AK 99654-7708
Phone
(907) 357-3496
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6506 AK Primary

Addresses

Primary practice location

4961 E Mayflower LN
Wasilla, AK 99654-7708

Mailing address

4961 E Mayflower LN
Wasilla, AK 99654-7708
Phone (907) 357-3496

Other identifiers 1

IdentifierTypeStateIssuer
MD0506MedicaidAK

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
I20081022000685 AK Practitioner - Family Practice 4587733316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Family Medicine LLCGroup PAC ID 5193869808, 2 clinicians

Practice addresses (Care Compare)

4961 E Mayflower LN
Wasilla, AK 99654-7708
Phone (907) 357-3496

Hospital & facility affiliations

  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Family Medicine LLC Family Medicine CurrentSince Jan 1, 2010 Accepting new patients
Mat-Su Valley Medical Center LLC Past Accepting new patients
Urban Anesthesiology, P.C PastSince Mar 21, 2021 Accepting new patients

Locations

4931 E Mayflower Ln
Ste 1
Wasilla, AK 99654
Phone (907) 357-3496

4961 E Mayflower Ln
Wasilla, AK 99654
Phone (907) 357-3496

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1104858604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 E MAYFLOWER LN",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547708",
            "telephone_number": "907-357-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4961 E MAYFLOWER LN",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547708",
            "telephone_number": "907-357-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHLSTROM",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "6506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD0506",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.