Individual provider Active NPI

Stephen D Markewich, MD

  • Pain Medicine Physician
  • Wasilla, AK
National Provider Identifier
1295959823
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
175891 Issued in AK
Practice address
3190 E Meridian Park Loop
Wasilla, AK 99654-7422
Phone
(907) 373-9460
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 175891 AK Primary
Anesthesiology Physician 207L00000X 2008-01684 NC
Anesthesiology Physician 207L00000X 35-092694 OH
Anesthesiology Physician 207L00000X 11173 ND
Pediatric Anesthesiology Physician 207LP3000X 11173 ND
Pain Medicine Physician 208VP0000X 11173 ND
Interventional Pain Medicine Physician 208VP0014X 11173 ND

Addresses

Primary practice location

3190 E Meridian Park Loop
Wasilla, AK 99654-7422

Mailing address

3190 E Meridian Park Loop
Wasilla, AK 99654-7422
Phone (907) 373-9460

Other identifiers 1

IdentifierTypeStateIssuer
1721935MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, AK2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090727000149 ND Practitioner - Pain ManagementPractitioner - Anesthesiology 1850444738 Reassigns benefits to 1 organization
I20210804001675 AK Practitioner - Pain Management 1850444738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Medical Group of AlaskaGroup PAC ID 7416243076, 10 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Eagle River, AK 99577-8078
Phone (907) 694-8085

1700 E Bogard Rd
Wasilla, AK 99654-6570
Phone (907) 921-5088

3190 E Meridian Park Loop
Suite 207
Wasilla, AK 99654-7422
Phone (907) 373-9460

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
55.96
Improvement activities
40
Cost
79.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-01684NCMDAnesthesiology Physician
35-092694OHMDAnesthesiology Physician
175891AKMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Oct 12, 2018 Accepting new patients
Medical Group of Alaska Current Accepting new patients
St. Alexius Medical Center CurrentSince Oct 12, 2018 Accepting new patients
Medical Group of Alaska CurrentSince Sep 1, 2021 Accepting new patients
Copper Basin Surgery Center LLC Current Accepting new patients
Medical Group of Alaska Pain Medicine CurrentSince Sep 1, 2021 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

4361 Boniface Pkwy
Ste 3
Anchorage, AK 99504
Phone (907) 333-2133

3190 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 373-9462

3190 E Meridian Park Loop
Ste 205
Wasilla, AK 99654
Phone (907) 373-3338

3190 E Meridian Park Loop
Ste 207
Wasilla, AK 99654
Phone (907) 357-7710

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

401 N 9th St
Bismarck, ND 58501
Phone (701) 530-6000

310 N 10th St
Bismarck, ND 58501
Phone (701) 530-7500

Interoperability endpoints

  • Direct secure messaging: smarkewich128374@achce.catholichealth.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DACAAA

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1295959823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 E MERIDIAN PARK LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547422",
            "telephone_number": "907-373-9460",
            "fax_number": "907-373-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 E MERIDIAN PARK LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547422",
            "telephone_number": "907-373-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKEWICH",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AK",
            "license": "175891",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2008-01684",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35-092694",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ND",
            "license": "11173",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "ND",
            "license": "11173",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "ND",
            "license": "11173",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "ND",
            "license": "11173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1721935",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.