NPIMap

Individual provider Active NPI

Mary Owenga Gwayi-Chore, MD

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1487628061
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6990 Issued in AK
Practice address
1341 Birchwood St
Anchorage, AK 99508-2915
Phone
(907) 868-1288
Fax
(907) 868-1288
NPI assigned
Feb 13, 2006
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 690 AK
Family Medicine Physician 207Q00000X 6990 AK Primary

Addresses

Primary practice location

1341 Birchwood St
Anchorage, AK 99508-2915

Mailing address

1341 Birchwood St
Anchorage, AK 99508-2915
Phone (907) 868-1288

Other identifiers 1

IdentifierTypeStateIssuer
MD3922MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MP2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110124000847 TX Practitioner - Family Practice 2163601105 Reassigns benefits to 2 organizations
I20240725003381 MP Practitioner - Family Practice 2163601105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Lower Navy Hill Rd
Saipan, MP 96950
Phone (670) 234-8950

1 Lower Navy Hill Rd
Saipan, MP 96950-0409

PO Box
Saipan, MP 96950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
690AKMDCounselor
6990AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Healthcare Corporation CurrentSince Apr 28, 2024 Accepting new patients
Commonwealth Healthcare Corporation Current Accepting new patients
Maniilaq Association CurrentSince Aug 15, 2016 Accepting new patients
Maniilaq Association CurrentSince Aug 15, 2016 Accepting new patients
Maniilaq Association Current Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Apr 28, 2024 Accepting new patients
Raymond E. Andreassen Family Medicine Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1487628061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 BIRCHWOOD ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082915",
            "telephone_number": "907-868-1288",
            "fax_number": "907-868-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 BIRCHWOOD ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082915",
            "telephone_number": "907-868-1288",
            "fax_number": "907-868-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWAYI-CHORE",
        "first_name": "MARY",
        "middle_name": "OWENGA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "690",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "6990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD3922",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.