Active NPI
Timothy J Buffey, DO
- Family Medicine Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-121749
- Practice address
- 1100 E Dimond Blvd Ste 103
Anchorage, AK 99515-2010 - Phone
- (907) 333-2133
- NPI assigned
- Jul 26, 2005
- Last updated
- Jan 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 145829 | AK | |
| Family Medicine Physician | 207Q00000X | 34007910 | OH | |
| Family Medicine Physician | 207Q00000X | 5101012318 | MI | |
| Family Medicine Physician | 207Q00000X | 036-121749 | IL | Primary |
Addresses
Primary practice location
1100 E Dimond Blvd Ste 103
Anchorage, AK 99515-2010
Mailing address
1300 Franklin Ave
Suite 100
Normal, IL 61761-3592
Phone (309) 268-3761
Other practice location 1
1300 Franklin Ave
suite 100
Normal, IL 61761-3592
Phone (309) 268-3761
Other practice location 2
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-8300
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2357926 | Medicaid | OH | |
| 080191223 | Other | OH | RRMC |
| 17-29002 | Other | OH | UHC |
| 36121749 | Medicaid | IL | |
| 5993729 | Other | OH | AETNA |
| 04238 | Other | OH | PARAMOUNT |
| 5715390 | Other | IL | BLUE CROSS/ BLUE SHIELD |
| 000000245783 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12001 Business Blvd
Suite 3B
Eagle River, AK 99577-7993
Phone (907) 212-3420
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-121749 | IL | MD | Family Medicine Physician |
| 5101012318 | MI | MD | Family Medicine Physician |
| 34007910 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Network of Alaska, LLC | Family Medicine | Current | Accepting new patients |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Hospital Medicine of Ak, LLC | Current | Accepting new patients | |
| Atlas Medical Alaska LLC | Current | Accepting new patients | |
| Atlas Medical Aco LLC | Family Medicine | Current | Accepting new patients |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Atlas Medical Aco LLC | Current | Accepting new patients | |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Mercy Urgent Care | Family Medicine | Past | Accepting new patients |
Locations
1100 E Dimond Blvd
Ste 103
Anchorage, AK 99515
Phone (907) 267-5890
1200 W Northern Lights Blvd
Ste A
Anchorage, AK 99503
Phone (907) 212-2090
2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222
3501 Denali St
Ste 202
Anchorage, AK 99503
Phone (907) 215-4846
9100 Centennial Cir
Anchorage, AK 99504
Phone (907) 333-8100
920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200
12001 Business Blvd
Ste 3B
Eagle River, AK 99577
17025 Snowmobile Ln
Eagle River, AK 99577
Phone (907) 694-9553
250 E Fireweed Ave
Palmer, AK 99645
Phone (907) 376-8938
3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625
3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332
3831 E Blue Lupine Dr
Ste C
Wasilla, AK 99654
Phone (907) 215-4846
7003 Chad Colley Blvd
Barling, AR 72923
Phone (479) 431-3493
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136
7227 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (907) 215-4846
Interoperability endpoints
- https://api.platform.athenahealth.com/27294/brand/1/csg/1/fhir/r4
- timothy.buffey@371240344420356.direct.elationemr.com
Organizations & group practices 16
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.
-
dba Providence Medical Group Alaska
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
-
- Hospitalist Physician
- Anchorage, AK
- NPI 1346947470
-
dba Capstone Urgent Care
- Urgent Care Clinic/Center
- Wasilla, AK
- NPI 1538414834
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Emergency Care Clinic/Center
- Waldron, AR
- NPI 1730137134
-
- Clinic/Center
- Wasilla, AK
- NPI 1629807086
-
- Internal Medicine Physician
- Wasilla, AK
- NPI 1376213207
-
dba Capstone Clinic
- Family Medicine Physician
- Kenai, AK
- NPI 1013551456
-
dba MNA Laboratory
- Clinical Medical Laboratory
- Wasilla, AK
- NPI 1467167585
-
dba Resound ENT
- Otolaryngology Physician
- Anchorage, AK
- NPI 1922862986
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1396573705
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Alaska Medical Center
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1164422663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 FRANKLIN AVE",
"address_2": "SUITE 100",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613592",
"telephone_number": "309-268-3761",
"fax_number": "309-268-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E DIMOND BLVD STE 103",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995152010",
"telephone_number": "907-333-2133"
}
],
"practiceLocations": [
{
"address_1": "1300 Franklin Ave",
"address_2": "suite 100",
"address_purpose": "LOCATION",
"city": "Normal",
"state": "IL",
"postal_code": "617613592",
"country_code": "US",
"telephone_number": "309-268-3761",
"fax_number": "309-268-5620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3100 Tongass Ave",
"address_purpose": "LOCATION",
"city": "Ketchikan",
"state": "AK",
"postal_code": "999015746",
"country_code": "US",
"telephone_number": "907-228-8300",
"fax_number": "907-228-8440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUFFEY",
"first_name": "TIMOTHY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "145829",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34007910",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101012318",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-121749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2357926",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "080191223",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "17-29002",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36121749",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5993729",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "04238",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "5715390",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000245783",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.