Active NPI
John H Bocachica, MD
- Dermatology Physician
- Juneau, AK
National Provider Identifier
1205881570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 3038
- Practice address
- 3268 Hospital Dr
Suite C
Juneau, AK 99801-7808 - Phone
- (907) 622-4433
- Fax
- (907) 622-0262
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 3038 | AK | Primary |
Addresses
Primary practice location
3268 Hospital Dr
Suite C
Juneau, AK 99801-7808
Mailing address
19441 Ostovia Cir
Eagle River, AK 99577-8793
Phone (907) 622-4433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD99341 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 22, 2020 through Dec 22, 2026
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avante Medical Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/9026/brand/1/csg/1/fhir/r4
- john.bocachica.1@9026.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Anchorage, AK
- NPI 1891924163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1205881570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19441 OSTOVIA CIR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778793",
"telephone_number": "907-622-4433",
"fax_number": "907-622-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3268 HOSPITAL DR",
"address_2": "SUITE C",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017808",
"telephone_number": "907-622-4433",
"fax_number": "907-622-0262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCACHICA",
"first_name": "JOHN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AK",
"license": "3038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD99341",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.