Michael Walleri, DO

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

176205 Issued in AK

Practice address

4300 B St Ste 200
Anchorage, AK 99503-5933

Phone

(907) 375-3355

Fax

(907) 562-1603

NPI assigned

May 2, 2018

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

HospitalistAlso: Family Practice

Education

Pacific NW Un of HS, Col of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Alaska Hospitalist Group LLCGroup PAC ID 6507755964, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006
• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
• Mat-Su Regional Medical Center Nursing home, CCN 02U006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Alaska Hospitalist Group LLC

  • Internal Medicine Physician
  • Anchorage, AK
  • NPI 1831296995
  Medicare reassignment Care Compare group NPD
• Mat-Su Valley Medical Center LLC

  dba Mat-Su Regional Medical Center

  • General Acute Care Hospital
  • Palmer, AK
  • NPI 1417975061

  Hospitalist

  NPD (past)

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

• Mat Su Valley Medical Center LLC

  dba Mat-Su Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Palmer, AK
  • NPI 1003838384

  Nursing home

  Care Compare affiliation
• Mat-Su Valley Medical Center LLC

  dba Mat-Su Regional Medical Center

  • General Acute Care Hospital
  • Palmer, AK
  • NPI 1417975061
  Care Compare affiliation
• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1295224400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 B ST",
            "address_2": "STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035933",
            "telephone_number": "907-375-3355",
            "fax_number": "907-375-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 B ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035933",
            "telephone_number": "907-375-3355",
            "fax_number": "907-562-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLERI",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "133703",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AK",
            "license": "176205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Myles Wallace
• Sarah Beth Wallace
• Susan 'Suzi' Wallace, PSYCHOLOGIST
• Destiny Waller
• Samuel Thomas Dunn Waller, MD
• Jeri R Wallin, EMT III
• Mackenzie G Wallin, BA
• Gordon Jay Wallis, LMT.
• Elizabeth Wallmann-Filley, LMSW
• Vanessa Walluk

• Hospitalist Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Hospitalist Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.