Individual provider Active NPI

Irisa Melita Pakalns Devine, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Anchorage, AK
National Provider Identifier
1437384583
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
161318 Issued in AK
Practice address
3340 Providence Dr Ste a-565
Anchorage, AK 99508-4691
Phone
(907) 212-2321
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 161318 AK Primary

Addresses

Primary practice location

3340 Providence Dr Ste a-565
Anchorage, AK 99508-4691

Mailing address

PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068

Other practice location 1

820 Mililani St Ste 400
Honolulu, HI 96813-2934
Phone (608) 695-6651

Other practice location 2

820 Mililani St
Honolulu, HI 96813-2993
Phone (608) 695-6651

Other practice location 3

642 Ulukahiki St
Suite 300
Kailua, HI 96734-4400
Phone (808) 261-4476

Other practice location 4

820 Mililani St Ste 400
Honolulu, HI 96813-2934
Phone (808) 979-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, AK, TX3 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
I20150605002781 HI Practitioner - Pediatric MedicinePractitioner - NeurologyPractitioner - Other (Physician)Practitioner - Physical Medicine and Rehabilitation 6002032935 Reassigns benefits to 2 organizations
I20200921000510 AK Practitioner - Pediatric MedicinePractitioner - Neurology 6002032935 Reassigns benefits to 1 organization
I20250909000753 TX Practitioner - Pediatric MedicinePractitioner - Neurology 6002032935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurology
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7033 E Tudor Rd
Anchorage, AK 99507-1262

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Sep 15, 2020 Accepting new patients
Southcentral Foundation CurrentSince Jul 26, 2025 Accepting new patients
Islands Hospice, Inc. CurrentSince Aug 18, 2019 Accepting new patients
Kapiolani Medical Specialists CurrentSince Apr 22, 2019 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 26, 2025 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation CurrentSince Jul 26, 2025 Accepting new patients
Kapiolani Medical Center Past Accepting new patients
Providence Health & Services-Washington PastSince Sep 15, 2020 Accepting new patients

Locations

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

4501 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1000

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

3340 Providence Dr
#A565
Anchorage, AK 99508
Phone (907) 212-2321

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

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

3340 Providence Dr
Ste A565
Anchorage, AK 99508
Phone (907) 212-2321

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

820 Mililani St
Ste 400
Honolulu, HI 96813
Phone (808) 550-2552

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1437384583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084105",
            "telephone_number": "866-907-1068",
            "fax_number": "425-917-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR STE A-565",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084691",
            "telephone_number": "907-212-2321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Mililani St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132934",
            "country_code": "US",
            "telephone_number": "608-695-6651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Mililani St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132993",
            "country_code": "US",
            "telephone_number": "608-695-6651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "642 Ulukahiki St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967344400",
            "country_code": "US",
            "telephone_number": "808-261-4476",
            "fax_number": "808-263-4476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Mililani St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132934",
            "country_code": "US",
            "telephone_number": "808-979-6700",
            "fax_number": "808-441-9875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "IRISA",
        "middle_name": "MELITA PAKALNS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "AK",
            "license": "161318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.