Individual provider Active NPI

Teryl Elam, M.D.

  • Obstetrics & Gynecology Physician
  • Anchorage, AK
National Provider Identifier
1346346970
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4931 Issued in AK
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1015079MedicaidAK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928001442 AK Practitioner - Obstetrics/Gynecology 7618902677 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Denali OB-GYN Assoc Obstetrics & Gynecology CurrentSince Sep 30, 2005 Accepting new patients
Obhg Alaska, P.C. Obstetrics & Gynecology CurrentSince Aug 26, 2021 Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Anchorage Women's Clinic, LLC Obstetrics & Gynecology PastSince May 2, 2011 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.