Nathan Kasukonis, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AK6583 Issued in AK

Practice address

2211 E Northern Lights Blvd
Anchorage, AK 99508-4129

Phone

(907) 279-8486

Fax

(907) 677-5614

NPI assigned

Apr 10, 2007

Last updated

Dec 18, 2013By 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 1

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

Family Practice

Education

University of New England, College of Osteo Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of Alaska Department of AdministrationGroup PAC ID 5395638571, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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.

• State of Alaska Department of Administration

  dba Alaska Psychiatric Institute

  • Psychiatric Hospital
  • Anchorage, AK
  • NPI 1497842553
  Medicare reassignment Care Compare group NPD
• Providence Health & Services- Washington

  dba Providence Medical Group Alaska

  • Critical Care Medicine (Internal Medicine) Physician
  • Anchorage, AK
  • NPI 1093956278
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1336362409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084129",
            "telephone_number": "907-257-8144",
            "fax_number": "907-677-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084129",
            "telephone_number": "907-279-8486",
            "fax_number": "907-677-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASUKONIS",
        "first_name": "NATHAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "AK6583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Kartsounes, O.T.
• Karuna Counseling, LLC
• Karen Louise Kaseman
• Mark Kasprowicz, DPT
• Kassim Abdikadir Kassim
• Martin Peter Kaszubowski, M.D.
• Brent Katchatag
• Kathleen Corleto (Compassionate Care Assisted Living Home)
• Christine Kathmann, RPH
• Katies Way Anchorage LLC (Katies Way)

• Family Medicine Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.