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

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

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

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.

• Mountain View Health Services

  • Health Service Clinic/Center
  • Anchorage, AK
  • NPI 1669082392

  AK

  Medicare reassignment Care Compare group Authorized official
• Alaska Urgent Care, LLC

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

  AK, Family Medicine

  Medicare reassignment Care Compare group NPD
• Kabo Health LLC

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

  AK, Family Medicine

  Medicare reassignment NPD Authorized official
• Avalia Health LLC

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1174328942

  Family Medicine

  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
• 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

• All providers in Anchorage, AK
• 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.