Diana L Kovacich, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

7070 Issued in AK

Practice address

1275 Sadler Way Ste 202
Fairbanks, AK 99701-3175

Phone

(907) 452-4101

NPI assigned

Jul 16, 2007

Last updated

Aug 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Diana L Sandnes Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Washington School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Consultants of Fairbanks LLCGroup PAC ID 9234566340, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesthesia Consultants of Fairbanks LLC

  • Anesthesiology Physician
  • Fairbanks, AK
  • NPI 1285272260
  Medicare reassignment Care Compare group NPD
• DK Anesthesia Services LLC

  • Anesthesiology Physician
  • Fairbanks, AK
  • NPI 1265028484
  NPD Authorized official
• Tanana Valley Clinic LLC

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1922559558
  Medicare reassignment
• Alaska Neuroscience Associates,LLC

  • Neurological Surgery Physician
  • Anchorage, AK
  • NPI 1528253838
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1265631550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SADLER WAY STE 202",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013175",
            "telephone_number": "907-452-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SADLER WAY STE 202",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013175",
            "telephone_number": "907-452-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Cowles St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997015998",
            "country_code": "US",
            "telephone_number": "907-458-3000",
            "fax_number": "907-458-5694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 Gaffney Rd Bldg 4076",
            "address_purpose": "LOCATION",
            "city": "Fort Wainwright",
            "state": "AK",
            "postal_code": "997035002",
            "country_code": "US",
            "telephone_number": "907-361-5349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2485 Chief William Dr",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997094873",
            "country_code": "US",
            "telephone_number": "907-885-0360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVACICH",
        "first_name": "DIANA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD60178246",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "258939-1",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "12483",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "7070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1571872",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "SANDNES",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Kortness
• Michael Ian Kortness
• Anika Kothe
• Charla Kouadio
• Theresa Kouadio, CMN
• Charles Kovalenko
• Mark Timothy Kowal, M.D.
• John Stuart Kowalczk
• Shellie Krabbe
• Jasmin Marie Kraft, LMT

• Anesthesiology Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Anesthesiology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.

Verify at the official NPI Registry.