Active NPI
Erik Marshall Kussro, DO
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 5068
- Practice address
- 3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234 - Phone
- (907) 562-2277
- Fax
- (907) 563-3460
- NPI assigned
- Feb 28, 2006
- Last updated
- Oct 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2454 | AK | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 5068 | AK | Primary |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 5068 | AK |
Addresses
Primary practice location
3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234
Mailing address
3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234
Phone (907) 562-2277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014399 | Medicaid | AK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 Lake Otis Pkwy
Suite 300
Anchorage, AK 99508-5234
Phone (907) 562-2277
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5068 | AK | MD | Addiction (Substance Use Disorder) Counselor |
| 2454 | AK | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoalaska, LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Orthoalaska LLC | Current | Accepting new patients | |
| Orthoalaska, LLC | Past | Accepting new patients | |
| Orthoalaska LLC | Past | Accepting new patients |
Locations
3801 Lake Otis Pkwy
Ste 300
Anchorage, AK 99508
Phone (907) 341-5238
13015 Old Glenn Hwy
Ste 100
Eagle River, AK 99577
Interoperability endpoints
- ekussro9286@ak.providencedirect.org
- erik.kussro.p1@direct.opaak.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Anchorage, AK
- NPI 1336504521
Physical Medicine & Rehabilitation
-
- Neurological Surgery Physician
- Anchorage, AK
- NPI 1194775379
-
dba Primary Care Associates
- Durable Medical Equipment & Medical Supplies
- Wasilla, AK
- NPI 1528937570
-
dba Orthopedic Physicians Alaska
- Rheumatology Physician
- Anchorage, AK
- NPI 1265293252
-
dba Orthopedic Physicians Alaska
- Durable Medical Equipment & Medical Supplies
- Wasilla, AK
- NPI 1043698491
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Alaska Medical Center
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1215904156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 LAKE OTIS PKWY STE 300",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085234",
"telephone_number": "907-562-2277",
"fax_number": "907-563-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 LAKE OTIS PKWY STE 300",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085234",
"telephone_number": "907-562-2277",
"fax_number": "907-563-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSSRO",
"first_name": "ERIK",
"middle_name": "MARSHALL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AK",
"license": "2454",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "AK",
"license": "5068",
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "AK",
"license": "5068",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014399",
"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 Oct 23, 2025; 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.
- 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.