Active NPI
Teryl Elam, M.D.
- Obstetrics & Gynecology Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4931
- Practice address
- 3976 University Lake Dr Ste 300
Anchorage, AK 99508-4644 - Phone
- (907) 222-9930
- NPI assigned
- Sep 14, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4931 | AK | Primary |
Addresses
Primary practice location
3976 University Lake Dr Ste 300
Anchorage, AK 99508-4644
Mailing address
3976 University Lake Dr Ste 300
Anchorage, AK 99508-4644
Phone (907) 222-9930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015079 | Medicaid | AK |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denali OB-GYN Assoc | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Alaska, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Providence Health & Services Washington | Past | Accepting new patients | |
| Anchorage Women's Clinic, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
3976 University Lake Dr
Ste 300
Anchorage, AK 99508
Phone (907) 222-9930
4001 Dale St
Ste 105
Anchorage, AK 99508
Phone (907) 222-9930
17101 Snowmobile Ln
Ste 201
Eagle River, AK 99577
Phone (907) 561-7111
Interoperability endpoints
- t.elam@denaliobgyn.directbygreenway.com
Organizations & group practices 4
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.
-
dba Denali OB Gyn Clinic
- Obstetrics & Gynecology Physician
- Anchorage, AK
- NPI 1477623452
-
- Obstetrics & Gynecology Physician
- Anchorage, AK
- NPI 1740697069
-
- Obstetrics & Gynecology Physician
- Anchorage, AK
- NPI 1265496061
-
dba Providence Alaska Medical Center
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346346970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3976 UNIVERSITY LAKE DR STE 300",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084644",
"telephone_number": "907-222-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3976 UNIVERSITY LAKE DR STE 300",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084644",
"telephone_number": "907-222-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAM",
"first_name": "TERYL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AK",
"license": "4931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015079",
"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 Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.