Individual provider Active NPI

Matthew Lindemann, MD

  • Obstetrics & Gynecology Physician
  • Anchorage, AK
National Provider Identifier
1376530170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4878 Issued in AK
Practice address
4001 Dale St
Ste #105
Anchorage, AK 99508-5428
Phone
(907) 222-9930
Fax
(907) 222-9931
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4878 AK Primary

Addresses

Primary practice location

4001 Dale St
Ste #105
Anchorage, AK 99508-5428

Mailing address

4001 Dale St
Ste #105
Anchorage, AK 99508-5428
Phone (907) 222-9930

Other identifiers 1

IdentifierTypeStateIssuer
MD2323MedicaidAK

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
I20060125000510 AK Practitioner - Obstetrics/Gynecology 4789608027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Dakota School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Borealis Life LLCGroup PAC ID 1052770419, 4 clinicians

Practice addresses (Care Compare)

2501 E 42ND Ave
Anchorage, AK 99508-5369
Phone (907) 206-4689

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4878AKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Borealis Life, LLC Obstetrics & Gynecology CurrentSince May 1, 2023 Accepting new patients
Providence Health & Services- Washington CurrentSince Nov 6, 2020 Accepting new patients
Owen R. Bell, M.D., a.P.C. Obstetrics & Gynecology CurrentSince May 1, 2023 Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Alaska Women'S Health Services, Inc Obstetrics & Gynecology Past Accepting new patients

Locations

1201 E 36th Ave
Anchorage, AK 99508
Phone (907) 562-9229

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

2501 E 42nd Ave
Anchorage, AK 99508
Phone (907) 206-4689

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

Interoperability endpoints

  • Direct secure messaging: m.lindemann@denaliobgyn.directbygreenway.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376530170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 DALE ST",
            "address_2": "STE #105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085428",
            "telephone_number": "907-222-9930",
            "fax_number": "907-222-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 DALE ST",
            "address_2": "STE #105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085428",
            "telephone_number": "907-222-9930",
            "fax_number": "907-222-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEMANN",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "4878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2323",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.