NPIMap

Individual provider Active NPI

Kathy J Hurlburt, MD

  • Internal Medicine Physician
  • Anchorage, AK
National Provider Identifier
1184725079
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5016 Issued in AK
Practice address
3220 Providence Dr Ste E3-040
Anchorage, AK 99508-4679
Phone
(907) 278-2880
Fax
(907) 278-2881
NPI assigned
Sep 26, 2006
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5016 AK Primary

Addresses

Primary practice location

3220 Providence Dr Ste E3-040
Anchorage, AK 99508-4679

Mailing address

3220 Providence Dr Ste E3-040
Anchorage, AK 99508-4679
Phone (907) 278-2880

Other identifiers 1

IdentifierTypeStateIssuer
MD2283MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100212000192 AK Practitioner - Internal Medicine 7517001613 Practice locations: Anchorage, AK

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3340 Providence Dr
Suite 358
Anchorage, AK 99508-4627
Phone (907) 278-2880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.03
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Swanson Medical Group LLC Internal Medicine CurrentSince May 14, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3220 Providence Dr
Ste E3040
Anchorage, AK 99508
Phone (907) 278-2880

Organizations & group practices 3

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1184725079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 PROVIDENCE DR STE E3-040",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084679",
            "telephone_number": "907-278-2880",
            "fax_number": "907-278-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 PROVIDENCE DR STE E3-040",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084679",
            "telephone_number": "907-278-2880",
            "fax_number": "907-278-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLBURT",
        "first_name": "KATHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "5016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2283",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.