Martin F Beals Jr., MD
Individual provider Active NPI Pediatrics Physician · Anchorage, AK
NPI 1346352655 · NPPES record last updated Jun 28, 2016
Key facts
- NPI
- 1346352655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 4592 (AK)
- Practice address
- 2925 Debarr Rd
Suite 230
Anchorage, AK 99508-2959 - Phone
- (907) 777-1800
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20875 | NC | MD | Pharmacist |
| 4592 | AK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Center for Pediatrics, LLC | Past | Accepting new patients | |
| Bladen Healthcare LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/9493/brand/2/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4592 | AK | Yes |
Addresses
Primary practice location
2925 Debarr Rd
Suite 230
Anchorage, AK 99508-2959
Mailing address
2925 Debarr Rd
Suite 230
Anchorage, AK 99508-2959
Phone (907) 777-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014213 | Medicaid | AK |
Other providers in Anchorage, AK
- Sally Michelle Beach
- Beacon Occupational Health & Safety Services, Inc.
- Justina Bih Beagnyam
- Heather M Beakler
- Deborah Lu Beall
- Maggie Beans
- Joseph Ranalder Beard IV
- Samantha Wilson Beard
- Joshua Bradly Bearden
- April Beardslee
All providers in Anchorage, AK · Pediatrics Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.