Individual provider Active NPI

David M Lefler Jr., DO

  • Nephrology Physician
  • Anchorage, AK
National Provider Identifier
1487609236
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0102201420 Issued in VA
Practice address
1120 Huffman Road
24-691
Anchorage, AK 99515
Phone
(907) 770-0412
Fax
(807) 770-0435
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 7137 AK
Nephrology Physician 207RN0300X DOS-1270 HI
Nephrology Physician 207RN0300X 0102201420 VA Primary

Addresses

Primary practice location

1120 Huffman Road
24-691
Anchorage, AK 99515

Mailing address

1120 Huffman Road
24-691
Anchorage, AK 99515
Phone (907) 770-0412

Other identifiers 5

IdentifierTypeStateIssuer
5108807OtherMAMSI
89066J2MedicaidNC
010131545MedicaidVA
171779OtherVAANTHEM
5923388OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110607000752 AK Practitioner - Nephrology 0244295293 Reassigns benefits to 3 organizations
I20160510001164 TX Practitioner - Internal MedicinePractitioner - Nephrology 0244295293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
West Virginia University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dialysis Associates of Alaska, LLCGroup PAC ID 1456345123, 13 clinicians

Practice addresses (Care Compare)

3260 Providence Dr
Suite C431
Anchorage, AK 99508-4661
Phone (907) 212-4840

3950 Laurel St
Anchorage, AK 99508-5366
Phone (907) 770-0412

Hospital & facility affiliations

  • Usrc Laurel Street Dialysis facility, Anchorage, AK, CCN 022500
  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOS-1270HIMDNephrology Physician
0597SCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Hypertension Associates of Alaska, PC Nephrology CurrentSince Nov 14, 2013 Accepting new patients
Dialysis Associates of Alaska, LLC Nephrology CurrentSince Aug 28, 2011 Accepting new patients
Kidney and Hypertension Clinic of Alaska, Inc Nephrology CurrentSince May 1, 2011 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Mar 17, 2016 Accepting new patients
Piedmont Day Surgery Center Inc Past Accepting new patients
Danville Urologic Clinic Inc Nephrology PastSince Aug 20, 2012 Accepting new patients

Locations

1120 Huffman Rd
Ste 24691
Anchorage, AK 99515
Phone (907) 770-0412

3300 Providence Dr
Ste B2
Anchorage, AK 99508

4015 Lake Otis Pkwy
Ste 201
Anchorage, AK 99508
Phone (907) 771-3500

3260 Providence Dr
#326
Anchorage, AK 99508
Phone (907) 562-2712

3300 Providence Dr
Ste 304
Anchorage, AK 99508
Phone (907) 212-4840

4015 Lake Otis Pkwy
Ste 101
Anchorage, AK 99508

3300 Providence Dr
Ste B201
Anchorage, AK 99508
Phone (907) 212-3116

3260 Providence Dr
Ste C431
Anchorage, AK 99508
Phone (907) 212-4840

3950 Laurel St
Anchorage, AK 99508
Phone (907) 563-3149

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

Interoperability endpoints

  • Direct secure messaging: david.lefler.1@22880.direct.athenahealth.com
  • Direct secure messaging: david.lefler.1@11242.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22880/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 3

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1487609236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 HUFFMAN ROAD",
            "address_2": "24-691",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-770-0412",
            "fax_number": "807-770-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HUFFMAN ROAD",
            "address_2": "24-691",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-770-0412",
            "fax_number": "807-770-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFLER",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AK",
            "license": "7137",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "DOS-1270",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0102201420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "5108807",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89066J2",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010131545",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "171779",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5923388",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.