Donald Ives, M.D.
Individual provider Active NPI Family Medicine Physician · Fairbanks, AK
NPI 1356316699 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1356316699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 3149 (AK)
- Practice address
- 1405 Kellum St
Suite 300
Fairbanks, AK 99701-4189 - Phone
- (907) 452-8346
- Fax
- (907) 451-8346
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 1, 2023 through Jun 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laser Vein Center of Fairbanks, LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- donald.ivesmd.p3@direct.cvr.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3149 | AK | Yes |
Addresses
Primary practice location
1405 Kellum St
Suite 300
Fairbanks, AK 99701-4189
Mailing address
PO Box 440
Ester, AK 99725-0440
Phone (907) 452-8346
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD03491 | Medicaid | AK |
Other providers in Fairbanks, AK
- Edward Irish
- Ironlight Behavioral Health Services, LLC
- Jodi Ann Irvine
- Nettie O. L. Irwin
- Hisako Ito
- Precious Eyewumi Izeagi
- Jace LLC
- Amani Ayisha Jackson
- Cassie Thacker Jackson
- Megan Jackson
All providers in Fairbanks, AK · Family Medicine 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 Mar 7, 2023. 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).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.