Individual provider Active NPI

Thomas John Knolmayer, M.D.,F.A.C.S.

  • Surgery Physician
  • Anchorage, AK
National Provider Identifier
1174512305
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4492 Issued in AK
Practice address
2751 Debarr Rd
Suite 290
Anchorage, AK 99508-2952
Phone
(907) 276-1046
Fax
(907) 222-6898
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4492 AK Primary

Addresses

Primary practice location

2751 Debarr Rd
Suite 290
Anchorage, AK 99508-2952

Mailing address

19510 S Mitkof Loop
Eagle River, AK 99577-8669
Phone (907) 696-2704

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
I20070612000783 AK Practitioner - General Surgery 5890732069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Uniformed Services Uhs Fe Hebert School of Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Trauma and Acute Care Surgery LLCGroup PAC ID 4880828797, 12 clinicians
Mat-Su Surgical Associates ApcGroup PAC ID 6901804046, 6 clinicians

Practice addresses (Care Compare)

3220 Providence Dr
Suite E3 080
Anchorage, AK 99508-4657
Phone (907) 865-5252

3674 E Meeridian Loop
Wasilla, AK 99654
Phone (907) 373-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.48 of 100Reported as group
Quality
43.89
Improvement activities
40
Cost
48.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mat-Su Surgical Associates Apc Surgery CurrentSince Sep 9, 2024 Accepting new patients
Alaska Trauma & Acute Care Surgery, LLC Surgery CurrentSince Sep 3, 2013 Accepting new patients
John P. Muffoletto MD, PC Surgery PastSince Jul 31, 2007 Accepting new patients
Fairbanks Memorial Physician Specialities Past Accepting new patients

Locations

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

3220 Providence Dr
Ste E3-080
Anchorage, AK 99508
Phone (907) 375-8785

3674 E Meridian Loop
Wasilla, AK 99654
Phone (907) 373-8100

Interoperability endpoints

  • Direct secure messaging: thomasknolmayer@atacs.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1174512305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19510 S MITKOF LOOP",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778669",
            "telephone_number": "907-696-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 DEBARR RD",
            "address_2": "SUITE 290",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082952",
            "telephone_number": "907-276-1046",
            "fax_number": "907-222-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLMAYER",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "4492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.