Individual provider Active NPI

Ronald Healy, MD

  • Hospitalist Physician
  • Anchorage, AK
National Provider Identifier
1144329145
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
5676 Issued in AK
Practice address
4300 B St Ste 200
Anchorage, AK 99503-5933
Phone
(907) 375-3355
Fax
(907) 375-3355
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5676 AK
Hospitalist Physician 208M00000X 5676 AK Primary

Addresses

Primary practice location

4300 B St Ste 200
Anchorage, AK 99503-5933

Mailing address

4300 B St
Ste 200
Anchorage, AK 99503-5933
Phone (907) 375-3355

Other identifiers 1

IdentifierTypeStateIssuer
MD2934MedicaidAK

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
I20050823001158 AK Practitioner - HospitalistPractitioner - Family Practice 5193762128 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5676AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Hospitalist Group LLC CurrentSince Sep 14, 2009 Accepting new patients
Providence Health & Services- Washington CurrentSince Mar 16, 2020 Accepting new patients
University of Wyoming Family Medicine Past Accepting new patients
Medi Horizons Inc Family Medicine Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Smart Sports Medicine Clinic PC Family Medicine Past Accepting new patients

Locations

1201 E 36th Ave
Anchorage, AK 99508
Phone (907) 562-9229

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

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

4300 B St
Ste 200
Anchorage, AK 99503
Phone (907) 276-1131

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

232 W Rockwell Ave
Soldotna, AK 99669
Phone (907) 375-3355

Organizations & group practices 6

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1144329145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 B ST",
            "address_2": "STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035933",
            "telephone_number": "907-375-3355",
            "fax_number": "907-375-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 B ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035933",
            "telephone_number": "907-375-3355",
            "fax_number": "907-375-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "5676",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AK",
            "license": "5676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2934",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.