Individual provider Active NPI

Galimat Khaidakova, MD

  • Vascular Surgery Physician
  • Anchorage, AK
National Provider Identifier
1245627744
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
180916 Issued in AK
Practice address
4001 Laurel Street #204 Alyeska Vascular Surgery, LLC
Anchorage, AK 99508
Phone
(907) 562-8346
Fax
(907) 562-8347
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 180916 AK Primary

Addresses

Primary practice location

4001 Laurel Street #204 Alyeska Vascular Surgery, LLC
Anchorage, AK 99508

Mailing address

4001 Laurel Street #204
Anchorage, AK 99508
Phone (907) 562-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX, AR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220301001414 AK Practitioner - Vascular SurgeryPractitioner - General Surgery 8921314303 Reassigns benefits to 1 organization
I20220817003753 TX Practitioner - Vascular Surgery 8921314303 Reassigns benefits to 1 organization
I20250409001312 AR Practitioner - Thoracic Surgery 8921314303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alyeska Vascular Surgery, LLCGroup PAC ID 2567610181, 14 clinicians
Arkansas Heart Hospital LLCGroup PAC ID 6002838653, 85 clinicians
Arkansas Heart Hospital Rural Health Services, LLCGroup PAC ID 6204004815, 52 clinicians

Practice addresses (Care Compare)

4001 Laurel St
Suite 204
Anchorage, AK 99508-5300
Phone (907) 562-8346

7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)23
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180916AKMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alyeska Vascular Surgery LLC CurrentSince Nov 20, 2021 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince May 1, 2025 Accepting new patients
Arkansas Heart Hospital Rural Health Services, LLC CurrentSince May 1, 2025 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince May 1, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 26, 2022 Accepting new patients

Locations

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4001 Laurel St
Ste 204
Anchorage, AK 99508
Phone (907) 561-1426

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

2751 Debarr Rd
#328
Anchorage, AK 99508
Phone (907) 562-8346

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ALYVAS
  • Direct secure messaging: gkhaidakova@direct.anthc.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1245627744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LAUREL STREET #204",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-562-8346",
            "fax_number": "907-562-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LAUREL STREET #204 ALYESKA VASCULAR SURGERY, LLC",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-562-8346",
            "fax_number": "907-562-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIDAKOVA",
        "first_name": "GALIMAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AK",
            "license": "180916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.