Active NPI
Steven B Tucker, MD
- Nephrology Physician
- Anchorage, AK
National Provider Identifier
1346200276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 1601
- Practice address
- 3300 Providence Dr
Ste 304
Anchorage, AK 99508-4671 - Phone
- (907) 212-4840
- Fax
- (907) 212-4820
- NPI assigned
- Mar 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 1601 | AK | Primary |
Addresses
Primary practice location
3300 Providence Dr
Ste 304
Anchorage, AK 99508-4671
Mailing address
PO Box 241769
Anchorage, AK 99524-1769
Phone (907) 770-2380
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A2548 | Other | BLUE CROSS SUB | |
| MD16012 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dialysis Associates of Alaska, LLC | Nephrology | Past | Accepting new patients |
| Nephrology & Hypertension Associates of Alaska, PC | Nephrology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/22880/brand/1/csg/1/fhir/r4
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.
-
- Nephrology Physician
- Anchorage, AK
- NPI 1912013160
-
- Nephrology Physician
- Anchorage, AK
- NPI 1093146623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1346200276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241769",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995241769",
"telephone_number": "907-770-2380",
"fax_number": "907-770-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 PROVIDENCE DR",
"address_2": "STE 304",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084671",
"telephone_number": "907-212-4840",
"fax_number": "907-212-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "STEVEN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AK",
"license": "1601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SUB",
"identifier": "A2548",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD16012",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.