Active NPI
Stephen D Markewich, MD
- Pain Medicine Physician
- Wasilla, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 175891
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1721935 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-01684 | NC | MD | Anesthesiology Physician |
| 35-092694 | OH | MD | Anesthesiology Physician |
| 175891 | AK | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alexius Medical Center | Current | Accepting new patients | |
| Medical Group of Alaska | Current | Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Medical Group of Alaska | Current | Accepting new patients | |
| Copper Basin Surgery Center LLC | Current | Accepting new patients | |
| Medical Group of Alaska | Pain Medicine | Current | 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
- smarkewich128374@achce.catholichealth.net
- 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.
-
- General Practice Physician
- Wasilla, AK
- NPI 1750730594
-
- Specialist
- Bismarck, ND
- NPI 1205868429
-
- Ambulatory Surgical Clinic/Center
- Wasilla, AK
- NPI 1619683968
-
- Pain Medicine Physician
- Wasilla, AK
- NPI 1174882971
-
- Physical Therapy Clinic/Center
- Wasilla, AK
- NPI 1891208351
-
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.