NPIMap

Individual provider Active NPI

Jeffrey William Molloy, M.D.

  • Gastroenterology Physician
  • Anchorage, AK
National Provider Identifier
1306833611
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
7988 Issued in AK
Practice address
3851 Piper St Ste U466
Anchorage, AK 99508-6905
Phone
(907) 569-1333
Fax
(907) 569-0433
NPI assigned
Oct 3, 2005
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A83198 CA
Gastroenterology Physician 207RG0100X 7988 AK Primary

Addresses

Primary practice location

3851 Piper St Ste U466
Anchorage, AK 99508-6905

Mailing address

3851 Piper St
Ste U466
Anchorage, AK 99508-6905
GB
Phone 01638528554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140917000352 AK Practitioner - GastroenterologyPractitioner - Internal Medicine 8921227380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3851 Piper St
Suite U466
Anchorage, AK 99508-6905
Phone (907) 569-1333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.88 of 100Reported as individual
Quality
93.92
Improvement activities
40
Cost
67.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy128
Upper gastrointestinal (GI) endoscopy for acid reflux248

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Neuro Associates, LLC Current Accepting new patients
Jeffrey W. Molloy, M.D, P.C. Gastroenterology CurrentSince Sep 3, 2014 Accepting new patients

Locations

3851 Piper St
Ste U466
Anchorage, AK 99508
Phone (800) 788-7465

17101 Snowmobile Ln
Ste 204
Eagle River, AK 99577
Phone (907) 569-1333

Organizations & group practices 2

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1306833611",
    "addresses": [
        {
            "country_code": "GB",
            "country_name": "Great Britain",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "3851 PIPER ST",
            "address_2": "STE U466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086905",
            "telephone_number": "01638528554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST STE U466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086905",
            "telephone_number": "907-569-1333",
            "fax_number": "907-569-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A83198",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AK",
            "license": "7988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.