NPIMap

Individual provider Active NPI

Katsiaryna Malykhina, MD

  • Family Medicine Physician
  • Soldotna, AK
National Provider Identifier
1225667421
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
217684 Issued in AK
Practice address
230 E Marydale Ave
Soldotna, AK 99669-7648
Phone
(907) 262-3119
Fax
(907) 262-9290
NPI assigned
Apr 8, 2020
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 217684 AK Primary

Addresses

Primary practice location

230 E Marydale Ave
Soldotna, AK 99669-7648

Mailing address

PO Box 2949
Soldotna, AK 99669-2949
Phone (907) 262-3119

Other practice location 1

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 652-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AK, OR3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230606003289 CA Practitioner - Emergency Medicine 2163889130 Reassigns benefits to 2 organizations
I20240319002373 AK Practitioner - Family Practice 2163889130 Reassigns benefits to 2 organizations
I20250926004310 OR Practitioner - Family Practice 2163889130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Columbia Medical CenterGroup PAC ID 3779487251, 99 clinicians
County of VenturaGroup PAC ID 7911810171, 340 clinicians
City of SewardGroup PAC ID 2466362280, shared by 4 NPIs, 18 clinicians

Practice addresses (Care Compare)

1700 E 19TH St
The Dalles, OR 97058-3317
Phone (541) 296-1111

2240 E Gonzales Rd
Oxnard, CA 93036-8212
Phone (805) 981-5221

300 Hillmont Ave
Ventura, CA 93003-1651

417 1St Ave
Seward, AK 99664-0365
Phone (907) 224-5205

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93 of 100Reported as group
Quality
62.16
Promoting interoperability
100
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
64.51
Promoting interoperability
100
Improvement activities
40
Cost
72.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Mid-Columbia Medical Center Family Medicine Current Accepting new patients
City of Seward CurrentSince Jan 1, 2026 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
County of Ventura CurrentSince Jan 22, 2024 Accepting new patients
County of Ventura Current Accepting new patients
Seaside Emergency Associates CurrentSince Apr 19, 2023 Accepting new patients
Peninsula Community Health Services of Alaska, Inc. CurrentSince Mar 6, 2024 Accepting new patients
Peninsula Community Health Services of Alaska, Inc. Family Medicine CurrentSince Mar 6, 2024 Accepting new patients
City of Seward CurrentSince May 1, 2024 Accepting new patients
City of Seward Family Medicine Current Accepting new patients
City of Seward CurrentSince May 1, 2024 Accepting new patients
Mid-Columbia Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Lawrence W. Chespak, M.D., a Prof Corp Past Accepting new patients
Renal Consultants of Ventura County, Inc Past Accepting new patients

Locations

805 Frontage Rd
Kenai, AK 99611
Phone (907) 262-3119

230 E Marydale Ave
Soldotna, AK 99669
Phone (907) 262-3119

2240 E Gonzales Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-5161

325 W Channel Islands Blvd
Oxnard, CA 93033
Phone (805) 204-9500

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

1227 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 582-4000

125 W Thousand Oaks Blvd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-9100

133 W Santa Clara St
Ventura, CA 93001
Phone (805) 641-5600

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

300 Hillmont Ave
Bldg 340
Ventura, CA 93003
Phone (805) 652-6100

800 S Victoria Ave
#L4640
Ventura, CA 93009

1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBCJAD

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1225667421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2949",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996692949",
            "telephone_number": "907-262-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E MARYDALE AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697648",
            "telephone_number": "907-262-3119",
            "fax_number": "907-262-9290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hillmont Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031651",
            "country_code": "US",
            "telephone_number": "805-652-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALYKHINA",
        "first_name": "KATSIARYNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "217684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.