Carl Andrew Astbury, D.O.
Individual provider Active NPI Psychiatry Physician · Anchorage, AK
NPI 1124415823 · NPPES record last updated Jun 6, 2020
Key facts
- NPI
- 1124415823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- O-1271 (ID)
- Practice address
- 1201 N Muldoon Rd
Anchorage, AK 99504-6104 - Phone
- (800) 827-1000
- NPI assigned
- Apr 20, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Copper Country Community Mental Health Services
Practice addresses (Care Compare)
901 W Memorial Dr
Houghton, MI 49931-2475
Phone (906) 482-9400
Hospital & facility affiliations
- Up Health System Portage
- Baraga County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 81.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.37
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250617000352 | MI | Practitioner - Psychiatry | 1759703374 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-1271 | ID | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copper Country Community Mental Health Services | Current |
Accepting new patients | |
| Copper Country Community Mental Health Services | Current |
Accepting new patients | |
| Copper Country Community Mental Health Services | Past |
Accepting new patients |
Locations
56938 Calumet Ave
Calumet, MI 49913
Phone (906) 337-5810
Interoperability endpoints
- castbury85549@direct.slhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | O-1271 | ID | Yes |
Addresses
Primary practice location
1201 N Muldoon Rd
Anchorage, AK 99504-6104
Mailing address
703 S Americana Blvd Ste 150
Boise, ID 83702-4976
Phone (208) 706-7114
Other practice location 1
1959 NE Pacific St
Box 356560
Seattle, WA 98195-6560
Phone (206) 543-6577
Other practice location 2
703 S Americana Blvd Ste 150
Boise, ID 83702-4976
Phone (208) 706-6375
NPI Registry JSON
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591401600000",
"number": "1124415823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 S AMERICANA BLVD STE 150",
"city": "BOISE",
"state": "ID",
"postal_code": "837024976",
"telephone_number": "208-706-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N MULDOON RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995046104",
"telephone_number": "800-827-1000"
}
],
"practiceLocations": [
{
"address_1": "1959 NE Pacific St",
"address_2": "Box 356560",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981956560",
"country_code": "US",
"telephone_number": "206-543-6577",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "703 S Americana Blvd Ste 150",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837024976",
"country_code": "US",
"telephone_number": "208-706-6375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASTBURY",
"first_name": "CARL",
"middle_name": "ANDREW",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-20",
"last_updated": "2020-06-06",
"certification_date": "2020-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "O-1271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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All providers in Anchorage, AK · Psychiatry Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.