NPIMap

Organization Active NPI

Anchorage Neurosurgical Associates Inc

  • Neurological Surgery Physician
  • Anchorage, AK
National Provider Identifier
1194775379
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
144266 Issued in AK
Legal business name
ANCHORAGE NEUROSURGICAL ASSOCIATES INC
Practice address
3831 Piper St
Suite S450
Anchorage, AK 99508-4672
Phone
(907) 258-6999
Fax
(907) 258-9470
NPI assigned
May 11, 2006
Last updated
Apr 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Louis L Kralick, MDNPI 1396796819
Title
President
Phone
(907) 258-6999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 144266 AK Primary

Addresses

Primary practice location

3831 Piper St
Suite S450
Anchorage, AK 99508-4672

Mailing address

3831 Piper St
Suite S450
Anchorage, AK 99508-4672
Phone (907) 258-6999

Other identifiers 1

IdentifierTypeStateIssuer
MDG1192MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310001403 AK Part B Supplier - Clinic/Group Practice 4880583707 Receives reassigned benefits from 25 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

3220 Providence Dr
#E30
Anchorage, AK 99508
Phone (907) 258-6999

3831 Piper St
Ste S450
Anchorage, AK 99508
Phone (907) 258-6999

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1194775379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST",
            "address_2": "SUITE S450",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084672",
            "telephone_number": "907-258-6999",
            "fax_number": "907-258-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST",
            "address_2": "SUITE S450",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084672",
            "telephone_number": "907-258-6999",
            "fax_number": "907-258-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE NEUROSURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "KRALICK",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-258-6999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AK",
            "license": "144266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG1192",
            "state": "AK"
        }
    ],
    "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 Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.