NPIMap

Individual provider Active NPI

James McKinney, DO

  • Family Medicine Physician
  • Juneau, AK
National Provider Identifier
1194389783
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
192765 Issued in AK
Practice address
3268 Hospital Dr Ste a
Juneau, AK 99801-7800
Phone
(907) 796-8700
Fax
(907) 796-8710
NPI assigned
Apr 29, 2019
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 192765 AK Primary

Addresses

Primary practice location

3268 Hospital Dr Ste a
Juneau, AK 99801-7800

Mailing address

3260 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8700

Other identifiers 1

IdentifierTypeStateIssuer
1695553MedicaidAK

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
I20230313001108 AK Practitioner - Family Practice 5890022891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bartlett Regional HospitalGroup PAC ID 1759469174, 25 clinicians

Practice addresses (Care Compare)

3268 Hospital Dr
Suite a
Juneau, AK 99801-7800
Phone (907) 796-8713

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
192765AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine of Ak, LLC CurrentSince Apr 1, 2023 Accepting new patients
Bartlett Regional Hospital CurrentSince Mar 19, 2023 Accepting new patients
Alpine Dermatology, LLC Past Accepting new patients
Bartlett Regional Hospital Past Accepting new patients

Locations

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

3225 Hospital Dr
Unit 101A
Juneau, AK 99801
Phone (907) 523-5411

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

3268 Hospital Dr
Ste A
Juneau, AK 99801
Phone (907) 796-8700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1194389783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 HOSPITAL DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017808",
            "telephone_number": "907-796-8700",
            "fax_number": "907-796-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3268 HOSPITAL DR STE A",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017800",
            "telephone_number": "907-796-8700",
            "fax_number": "907-796-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "192765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1695553",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.