Individual provider Active NPI

Richard T Kilby, MD

  • Obstetrics & Gynecology Physician
  • Anchorage, AK
National Provider Identifier
1477517274
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5508 Issued in AK
Practice address
1200 Airport Heights Dr
Suite 200
Anchorage, AK 99508-2943
Phone
(907) 770-5800
Fax
(907) 770-5801
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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 5508 AK Primary

Addresses

Primary practice location

1200 Airport Heights Dr
Suite 200
Anchorage, AK 99508-2943

Mailing address

3976 University Lake Dr
Ste 300
Anchorage, AK 99508-4644
Phone (907) 222-9930

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
I20050811000751 AK Practitioner - Obstetrics/Gynecology 2365471166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Minnesota Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denali OB-GYN AssocGroup PAC ID 0941296735, 10 clinicians

Practice addresses (Care Compare)

3976 University Lake Dr
Suite 300
Anchorage, AK 99508-4644
Phone (907) 222-9930

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Alaska, P.C. Obstetrics & Gynecology CurrentSince Jan 12, 2017 Accepting new patients
Anchorage Neighborhood Health Center, Inc. CurrentSince May 5, 2018 Accepting new patients
Denali OB-GYN Assoc Obstetrics & Gynecology CurrentSince Aug 20, 2018 Accepting new patients
Anchorage Neighborhood Health Center Inc CurrentSince May 5, 2018 Accepting new patients
Galen Hospital Alaska, Inc. Past Accepting new patients
Holy Family Memorial Inc Past Accepting new patients
Anchorage Women'S Clinic, LLC Obstetrics & Gynecology PastSince May 2, 2011 Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

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

4951 Business Park Blvd
Anchorage, AK 99503
Phone (907) 743-7200

3976 University Lake Dr
Ste 300
Anchorage, AK 99508
Phone (907) 222-9930

17101 Snowmobile Ln
Ste 201
Eagle River, AK 99577
Phone (907) 561-7111

Organizations & group practices 8

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1477517274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3976 UNIVERSITY LAKE DR",
            "address_2": "STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084644",
            "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": "1200 AIRPORT HEIGHTS DR",
            "address_2": "SUITE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082943",
            "telephone_number": "907-770-5800",
            "fax_number": "907-770-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBY",
        "first_name": "RICHARD",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "5508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.