NPIMap

Individual provider Active NPI

Javid Kamali, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Anchorage, AK
National Provider Identifier
1306985346
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
6015 Issued in AK
Practice address
4300 B St
Suite 200
Anchorage, AK 99503-5925
Phone
(907) 375-3355
Fax
(907) 375-3351
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2004-0412 NM
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 6015 AK Primary

Addresses

Primary practice location

4300 B St
Suite 200
Anchorage, AK 99503-5925

Mailing address

4300 B St
Suite 200
Anchorage, AK 99503-5925
Phone (907) 375-3355

Other identifiers 1

IdentifierTypeStateIssuer
MD1962MedicaidAK

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
I20070907000177 AK Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 9537252531 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Hospitalist Group LLCGroup PAC ID 6507755964, 84 clinicians
Providence Health and Services- WashingtonGroup PAC ID 1557408176, 219 clinicians

Practice addresses (Care Compare)

3200 Providence Dr
Anchorage, AK 99508-4615
Phone (907) 375-3355

910 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9100

920 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9200

9456 Autumn Ridge Cir
Anchorage, AK 99507-5010

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006
  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004-0412NMMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jul 1, 2025 Accepting new patients
Providence Health & Services-Washington CurrentSince Jul 1, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Jul 1, 2025 Accepting new patients
Providence Medical Institute CurrentSince Jan 13, 2026 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 1, 2025 Accepting new patients
Providence Health & Services Mt CurrentSince Sep 25, 2025 Accepting new patients
Providence Health & Services- Washington Critical Care Medicine CurrentSince Jul 1, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 25, 2025 Accepting new patients
Providence Medical Institute CurrentSince Jan 13, 2026 Accepting new patients
Alaska Hospitalist Group LLC Critical Care Medicine CurrentSince Aug 1, 2012 Accepting new patients
Providence Health & Services Washington CurrentSince Jul 1, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 25, 2025 Accepting new patients
Providence Health & Services Mt Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

4300 B St
Ste 200
Anchorage, AK 99503
Phone (907) 276-1131

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1306985346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 B ST",
            "address_2": "SUITE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035925",
            "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",
            "address_2": "SUITE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035925",
            "telephone_number": "907-375-3355",
            "fax_number": "907-375-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMALI",
        "first_name": "JAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NM",
            "license": "2004-0412",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AK",
            "license": "6015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1962",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.