Individual provider Active NPI

Anna Feldman Vertkin, MD

  • Gastroenterology Physician
  • Albuqurque, NM
National Provider Identifier
1346579364
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD184988 Issued in OR
Practice address
1100 Central Ave
Albuqurque, NM 87106
Phone
(415) 877-4280
NPI assigned
Dec 22, 2009
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 200 WI
Gastroenterology Physician 207RG0100X A44633 CA
Gastroenterology Physician 207RG0100X 2571678 ID
Gastroenterology Physician 207RG0100X MD184988 OR Primary
Gastroenterology Physician 207RG0100X DR.0074335 CO

Addresses

Primary practice location

1100 Central Ave
Albuqurque, NM 87106

Mailing address

PO Box 55
Peacitas, NM 87043
Phone (415) 877-4280

Other practice location 1

1010 Three Springs Blvd Ste 270
Durango, CO 81301-8296
Phone (970) 764-3800

Other practice location 2

1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222

Other practice location 3

100 Hospital Dr
Suite 201
Ketchum, ID 83340
Phone (208) 727-8888

Other names 1

  • Dr. Anna Vertkin Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address avertkin842735@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240405002073 AR Practitioner - Gastroenterology 4587672910 Reassigns benefits to 1 organization
I20240419002228 TX Practitioner - Internal Medicine 4587672910 Reassigns benefits to 1 organization
I20251024003903 ID Practitioner - Gastroenterology 4587672910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Baylor College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic - Wood River LLCGroup PAC ID 3173783818, 66 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Ketchum, ID 83340

100 Hospital Dr
Ketchum, ID 83340-9998

191 5TH St W
Ketchum, ID 83340-9998
Phone (208) 725-2171

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy30
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0074335COMDGastroenterology Physician
2571678IDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
US Dept of HHS CurrentSince Mar 6, 2024 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Mar 6, 2024 Accepting new patients
Baptist Health Services CurrentSince Apr 13, 2024 Accepting new patients
Baptist Health Services Current Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
St Lukes Clinic - Wood River LLC CurrentSince Oct 9, 2025 Accepting new patients
US Health Dept of Health & Human Services Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
U S Health Dept of Health & Human Services Gastroenterology Past Accepting new patients

Locations

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

1001 Towson Ave
Ste 100
Fort Smith, AR 72901
Phone (479) 709-7430

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7245

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

Interoperability endpoints

  • Direct secure messaging: avertkin@yourcarecommunity.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1346579364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "PEACITAS",
            "state": "NM",
            "postal_code": "87043",
            "telephone_number": "415-877-4280",
            "fax_number": "888-754-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CENTRAL AVE",
            "city": "ALBUQURQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "415-877-4280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Three Springs Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-764-3800",
            "fax_number": "970-764-3840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Bellinger St",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547035222",
            "country_code": "US",
            "telephone_number": "715-838-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Ketchum",
            "state": "ID",
            "postal_code": "83340",
            "country_code": "US",
            "telephone_number": "208-727-8888",
            "fax_number": "208-727-8899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERTKIN",
        "first_name": "ANNA",
        "middle_name": "FELDMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "200",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A44633",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ID",
            "license": "2571678",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD184988",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0074335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avertkin842735@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1698 E McAndrews Rd Ste 400",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975045590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "VERTKIN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuqurque, NM

Sources for this page

Verify at the official NPI Registry.