Individual provider Active NPI

Jann Lee Urban, M.D.

  • Anesthesiology Physician
  • Anchorage, AK
National Provider Identifier
1487643169
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
5298 Issued in AK
Practice address
4001 Laurel St
Suite 202
Anchorage, AK 99508-5300
Phone
(907) 277-7246
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036.098349 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 5298 AK
Anesthesiology Physician 207L00000X 5298 AK Primary

Addresses

Primary practice location

4001 Laurel St
Suite 202
Anchorage, AK 99508-5300

Mailing address

4001 Laurel St
Suite 202
Anchorage, AK 99508-5300
Phone (907) 277-7246

Other practice location 1

4961 E Mayflower Ln
Wasilla, AK 99654-7708
Phone (907) 376-7246

Other identifiers 4

IdentifierTypeStateIssuer
MD5298MedicaidAK
P00416036OtherAKMEDICARE RAILROAD
8428484OtherWAWA MEDICAID
0217350OtherWAWA DEPT OF LABOR

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
I20040805000142 AK Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 7517938210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Chicago College of Medicine and Surgery, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urban Anesthesiology PCGroup PAC ID 8527219526, 2 clinicians

Practice addresses (Care Compare)

4001 Laurel St
Suite 202
Anchorage, AK 99508-5300
Phone (907) 277-7246

Hospital & facility affiliations

  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024
  • Providence Kodiak Island Medical Ctr Hospital, Kodiak, AK, CCN 021306

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.098349ILMDAnesthesiology Physician
5298AKMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Anesthesiology, P.C Pain Medicine CurrentSince Aug 23, 2012 Accepting new patients
Heritage Family Medicine LLC PastSince Mar 21, 2021 Accepting new patients

Locations

4001 Laurel St
Ste 202
Anchorage, AK 99508
Phone (907) 277-7246

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

2490 S Woodworth Loop
Ste 300
Palmer, AK 99645
Phone (907) 745-9320

2490 S Woodworth Loop
Ste 100
Palmer, AK 99645
Phone (907) 715-2733

4961 E Mayflower Ln
Wasilla, AK 99654
Phone (907) 357-3496

Interoperability endpoints

  • Direct secure messaging: mdurban@3bd8ee36.micromddirect.com

Organizations & group practices 2

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1487643169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LAUREL ST",
            "address_2": "SUITE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085300",
            "telephone_number": "907-277-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LAUREL ST",
            "address_2": "SUITE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085300",
            "telephone_number": "907-277-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4961 E Mayflower Ln",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547708",
            "country_code": "US",
            "telephone_number": "907-376-7246",
            "fax_number": "907-268-4710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBAN",
        "first_name": "JANN",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.098349",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AK",
            "license": "5298",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "5298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD5298",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00416036",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA MEDICAID",
            "identifier": "8428484",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR",
            "identifier": "0217350",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.