Jonathan Mark Vanravenswaay, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

111160 Issued in AK

Practice address

3521 Mountain View Dr
Anchorage, AK 99508-1111

Phone

(805) 766-1049

NPI assigned

May 24, 2013

Last updated

Nov 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

University of Washington School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alaska Urgent Care LLCGroup PAC ID 1355574484, 13 clinicians

Mountain View Health ServicesGroup PAC ID 4486029717, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: jonathan.van.ravenswaay.1@18095.direct.athenahealth.com

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.

• Mountain View Health Services

  • Health Service Clinic/Center
  • Anchorage, AK
  • NPI 1669082392
  Medicare reassignment Care Compare group Authorized official
• Alaska Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1518389303

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Kabo Health LLC

  dba Mountain View Urgent Care

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1346777505

  Family Medicine

  Medicare reassignment NPD Authorized official
• Avalia Health LLC

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1174328942
  NPD Authorized official

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1154768588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140968",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995140968",
            "telephone_number": "805-766-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 MOUNTAIN VIEW DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081111",
            "telephone_number": "805-766-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANRAVENSWAAY",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A133945",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "111160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roddy Vanilau
• Vanity: Aesthetics, Dermatology & Wellness, LLC (Vanity)
• Kara Dawn Vankooten, PT, DPT
• Aimee Vanommeren
• Jo Ann Vanoort, C.C.
• Daisy Vanslyke, BSW
• Siena Vanucci, RDN, LDN
• Brendan Vanvalkenburgh, CMTPT, LMT
• Michael Roy Vanvleet, MSW
• Lynn Mallari Vargas, CNA

• Family Medicine Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.