Individual provider Active NPI

Richard Liles, M.D.

  • Anesthesiology Physician
  • Anchorage, AK
National Provider Identifier
1477563633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4714 Issued in AK
Practice address
3300 Providence Dr Ste 207
Providence Anchorage Anesthesia Medical Group, P.C.
Anchorage, AK 99508-4619
Phone
(907) 561-0005
Fax
(907) 563-9140
NPI assigned
Aug 9, 2006
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
Anesthesiology Physician 207L00000X 4714 AK Primary

Addresses

Primary practice location

3300 Providence Dr Ste 207
Providence Anchorage Anesthesia Medical Group, P.C.
Anchorage, AK 99508-4619

Mailing address

3300 Providence Dr Ste 207
Providence Anchorage Anesthesia Medical Group, P.C.
Anchorage, AK 99508-4619
Phone (907) 561-0005

Other identifiers 1

IdentifierTypeStateIssuer
4714MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4714AKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Anchorage Anesthesia Medical Group, P.C. Anesthesiology Past Accepting new patients
University Hospitals Medical Group Inc Anesthesiology Past Accepting new patients
US Anesthesia Partners of Colorado Inc. Anesthesiology PastSince Aug 1, 2016 Accepting new patients
South Denver Anesthesiologists PC Anesthesiology Past Accepting new patients

Organizations & group practices 4

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477563633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR STE 207",
            "address_2": "PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084619",
            "telephone_number": "907-561-0005",
            "fax_number": "907-563-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR STE 207",
            "address_2": "PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084619",
            "telephone_number": "907-561-0005",
            "fax_number": "907-563-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "4714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4714",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.