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Individual provider Active NPI

Katherine Hope Buddenberg, D.O.

  • Hospitalist Physician
  • Anchorage, AK
National Provider Identifier
1336374875
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
131463 Issued in AK
Practice address
4300 B St Ste 200
Anchorage, AK 99503-5933
Phone
(907) 375-3355
Fax
(907) 375-3351
NPI assigned
May 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A13936 CA
Internal Medicine Physician 207R00000X DO171951 OR
Hospitalist Physician 208M00000X 131463 AK Primary

Addresses

Primary practice location

4300 B St Ste 200
Anchorage, AK 99503-5933

Mailing address

4300 B St
Ste 200
Anchorage, AK 99503-5933
Phone (707) 464-6715

Other practice location 1

780 E Washington Blvd Ste 202
Crescent City, CA 95531-8397
Phone (707) 464-6715

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
I20180712000626 AK Practitioner - HospitalistPractitioner - Internal Medicine 7214163203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Hospitalist Group LLC 84 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006
  • South Peninsula Hospital Hospital, Homer, AK, CCN 021313
  • Alaska Native Medical Center Hospital, Anchorage, AK, CCN 020026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A13936CAMDInternal Medicine Physician
DO171951ORMDInternal Medicine Physician
13936CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Hospitalist Group LLC Internal Medicine CurrentSince Jul 1, 2018 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

232 W Rockwell Ave
Soldotna, AK 99669
Phone (907) 375-3355

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 and National Provider Directory roles.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1336374875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 B ST",
            "address_2": "STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035933",
            "telephone_number": "707-464-6715",
            "fax_number": "707-465-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 B ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035933",
            "telephone_number": "907-375-3355",
            "fax_number": "907-375-3351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 E Washington Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Crescent City",
            "state": "CA",
            "postal_code": "955318397",
            "country_code": "US",
            "telephone_number": "707-464-6715",
            "fax_number": "707-465-0870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDDENBERG",
        "first_name": "KATHERINE",
        "middle_name": "HOPE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A13936",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO171951",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AK",
            "license": "131463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.