Owen Aftreth, M.D.
Individual provider Active NPI Urology Physician · Anchorage, AK
NPI 1457715724 · NPPES record last updated Jun 16, 2022
Key facts
- NPI
- 1457715724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- A151565 (CA)
- Practice address
- 3841 Piper St Ste T300
Anchorage, AK 99508-4685 - Phone
- (907) 563-3103
- NPI assigned
- Apr 12, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Minnesota Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alaska Urology LLC
Practice addresses (Care Compare)
3841 Piper St
T300
Anchorage, AK 99508-4685
Phone (907) 563-3103
Hospital & facility affiliations
- Providence Alaska Medical Center
- Alaska Regional Hospital
- Mat-Su Regional Medical Center
- Central Peninsula General Hospital
- Cordova Community Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220720003824 | AK | Practitioner - Urology | 2365704376 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A151565 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Urology, LLC | Urology | Current |
Accepting new patients |
Locations
2925 Debarr Rd
Ste 250
Anchorage, AK 99508
Phone (907) 563-3103
2925 Debarr Rd
Ste D250
Anchorage, AK 99508
Phone (907) 563-3103
3841 Piper St
Ste T300
Anchorage, AK 99508
Phone (907) 563-3103
4201 Bartlett St
Ste 201
Homer, AK 99603
Phone (907) 235-0310
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A151565 | CA | Yes |
Addresses
Primary practice location
3841 Piper St Ste T300
Anchorage, AK 99508-4685
Mailing address
3841 Piper St Ste T300
Anchorage, AK 99508-4685
Other practice location 1
2925 DeBarr Rd Ste D250
Anchorage, AK 99508-2959
Phone (907) 563-3103
Other providers in Anchorage, AK
- Affinity Home, LLC
- Ulima Afoa
- Alu Oluseguun Afolabi
- Christina Afonin
- Aft Medical Ak LLC
- Ag Care Coordination
- August Charles Aga Sr.
- Agape Assisted Living Homes
- Agape Assisted Living Homes
- Agape Care Coordination LLC
All providers in Anchorage, AK · Urology 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 16, 2022. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.