Individual provider Active NPI

Eli Alexander Woods Oates, MD

  • Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1487765186
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
170761 Issued in AK
Practice address
4320 Diplomacy Dr Ste 1500
Anchorage, AK 99508-5925
Phone
(907) 729-2500
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 200100270 NC
Psychiatry Physician 2084P0800X 170761 AK Primary

Addresses

Primary practice location

4320 Diplomacy Dr Ste 1500
Anchorage, AK 99508-5925

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-6799

Other practice location 1

3260 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8900

Other identifiers 1

IdentifierTypeStateIssuer
891301CMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241022000560 TX Practitioner - Psychiatry 0244381705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4320 Diplomacy Dr
Anchorage, AK 99508-5925
Phone (907) 265-4955

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
170761AKMDPsychiatry Physician
200100270NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Oct 1, 2024 Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince Jul 29, 2018 Accepting new patients
Triangle Springs Physician Group, LLC Psychiatry CurrentSince Sep 25, 2019 Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince Jul 29, 2018 Accepting new patients
Southcentral Foundation Current Accepting new patients
Act Medical Group PA Past Accepting new patients
Act Medical Group, PA Past Accepting new patients

Locations

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

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

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

4320 Diplomacy Dr
Ste 1500
Anchorage, AK 99508
Phone 90772925003

10901 World Trade Blvd
Raleigh, NC 27617
Phone (919) 272-1026

2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1487765186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262",
            "telephone_number": "907-729-6799",
            "fax_number": "907-729-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DIPLOMACY DR STE 1500",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085925",
            "telephone_number": "907-729-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3260 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017808",
            "country_code": "US",
            "telephone_number": "907-796-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OATES",
        "first_name": "ELI",
        "middle_name": "ALEXANDER WOODS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200100270",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "170761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891301C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.