Individual provider Active NPI

John McCormick, M.D.

  • Diagnostic Radiology Physician
  • Anchorage, AK
National Provider Identifier
1144291295
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2256 Issued in AK
Practice address
2110 E Northern Lights Blvd
Anchorage, AK 99508-4154
Phone
(907) 563-3700
Fax
(907) 563-3740
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2256 AK Primary

Addresses

Primary practice location

2110 E Northern Lights Blvd
Anchorage, AK 99508-4154

Mailing address

2110 E Northern Lights Blvd
Anchorage, AK 99508-4154
Phone (907) 563-3700

Other identifiers 1

IdentifierTypeStateIssuer
MD22562MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050829000668 AK Practitioner - Diagnostic Radiology 9335110956 Reassigns benefits to 5 organizations
I20201116000398 TX Practitioner - Diagnostic Radiology 9335110956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Vermont College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Imaging Associates LLCGroup PAC ID 5294633590, 27 clinicians

Practice addresses (Care Compare)

2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 276-1131

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Fracture and Orthopaedic Clinic, PC CurrentSince Jul 12, 2021 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Anchorage Fracture and Orthopaedic Clinic, PC CurrentSince Jul 12, 2021 Accepting new patients
McKinley Imaging, LLC Diagnostic Radiology CurrentSince Apr 13, 2022 Accepting new patients
Alaska Imaging Associates, LLC Diagnostic Radiology CurrentSince Apr 15, 2020 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Oct 21, 2020 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Cordova Community Medical Center CurrentSince Apr 22, 2023 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Oct 21, 2020 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Anchorage Imaging Center LLC Diagnostic Radiology CurrentSince Jun 6, 2022 Accepting new patients
Medical Park Family Care, LLC CurrentSince Sep 6, 2014 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Fairbanks Community Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

2110 E Northern Lights Blvd
Anchorage, AK 99508
Phone (907) 644-2997

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

4100 Lake Otis Pkwy
Ste 102
Anchorage, AK 99508
Phone (907) 382-0660

4100 Lake Otis Pkwy
Ste 108
Anchorage, AK 99508
Phone (907) 339-2455

12350 Industry Way
Ste 110
Anchorage, AK 99515
Phone (907) 206-9114

2211 E Northern Lights Blvd
Anchorage, AK 99508
Phone (907) 257-8176

3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

3765 E Blue Lupine Dr
Ste B
Wasilla, AK 99654

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cordova-527880fe

Organizations & group practices 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1144291295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084154",
            "telephone_number": "907-563-3700",
            "fax_number": "907-563-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084154",
            "telephone_number": "907-563-3700",
            "fax_number": "907-563-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "2256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD22562",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.