Individual provider Active NPI

Timothy J Buffey, DO

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1164422663
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-121749 Issued in IL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2357926MedicaidOH
080191223OtherOHRRMC
17-29002OtherOHUHC
36121749MedicaidIL
5993729OtherOHAETNA
04238OtherOHPARAMOUNT
5715390OtherILBLUE CROSS/ BLUE SHIELD
000000245783OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, AK2 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
I20170728002666 AR Practitioner - Family Practice 2860456191 Reassigns benefits to 2 organizations
I20211206001817 AK Practitioner - Family Practice 2860456191 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
036-121749ILMDFamily Medicine Physician
5101012318MIMDFamily Medicine Physician
34007910OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Network of Alaska, LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Mercy Hospital Waldron CurrentSince Dec 6, 2021 Accepting new patients
Providence Health & Services- Washington CurrentSince Jan 5, 2026 Accepting new patients
Hospital Medicine of Ak, LLC CurrentSince Apr 1, 2023 Accepting new patients
Atlas Medical Alaska LLC CurrentSince Jul 18, 2024 Accepting new patients
Atlas Medical Aco LLC Family Medicine CurrentSince Sep 6, 2024 Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Apr 21, 2024 Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients
Atlas Medical Aco LLC CurrentSince Sep 6, 2024 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 1, 2017 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 1, 2017 Accepting new patients
Medical Network of Alaska, LLC CurrentSince Jan 1, 2022 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

  • FHIR API: https://api.platform.athenahealth.com/27294/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.