Individual provider Active NPI

Robert P Onders, MD

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1104917517
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6465 Issued in AK
Practice address
4000 Ambassador Dr
Anchorage, AK 99508-5909
Phone
(907) 729-3929
NPI assigned
Sep 28, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 6465 AK Primary

Addresses

Primary practice location

4000 Ambassador Dr
Anchorage, AK 99508-5909

Mailing address

4000 Ambassador Dr
Anchorage, AK 99508-5909
Phone (907) 729-3929

Other identifiers 2

IdentifierTypeStateIssuer
114042600MedicaidWY
308727OtherWYBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY, AK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090205000317 TX Practitioner - Emergency MedicinePractitioner - Family Practice 6406842889 Reassigns benefits to 2 organizations
I20141023001679 WY Practitioner - Family Practice 6406842889 Reassigns benefits to 1 organization
I20260316001303 AK Practitioner - Family Practice 6406842889 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6465AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maniilaq Association CurrentSince Oct 1, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jun 5, 2015 Accepting new patients
University of Wyoming Family Medicine CurrentSince Aug 9, 2014 Accepting new patients
Maniilaq Association CurrentSince Oct 25, 2025 Accepting new patients
University of Wyoming Speech and Hearing Clinic CurrentSince Aug 9, 2014 Accepting new patients
University of Wyoming Family Medicine Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

820 E 17th St
Cheyenne, WY 82001
Phone (307) 431-5055

Interoperability endpoints

  • Direct secure messaging: rponders@direct.kodiakhealthcare.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Anchorage Neighborhood Health Center IncAnchorage, AK, CCN 021808 Federally qualified health center Other Jan 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104917517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 AMBASSADOR DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085909",
            "telephone_number": "907-729-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 AMBASSADOR DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085909",
            "telephone_number": "907-729-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDERS",
        "first_name": "ROBERT",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "6465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114042600",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "308727",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.