Individual provider Active NPI

Elizabeth Martinez-Augustin, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Anchorage, AK
National Provider Identifier
1487772810
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
5414 Issued in AK
Practice address
910 Compassion Cir
Anchorage, AK 99504-1645
Phone
(907) 212-9100
Fax
(907) 212-9264
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 5414 AK Primary

Addresses

Primary practice location

910 Compassion Cir
Anchorage, AK 99504-1645

Mailing address

PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068

Other identifiers 1

IdentifierTypeStateIssuer
1018284MedicaidAK

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address emartinezaugustin933433@ak.providencedirect.org
Direct Messaging Address emartinezaugustin933433@ak.providencedirect.org

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
I20050228000619 AK Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 8123071370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine, Hospice/Palliative Care
Education
College of Osteopathic Physicians and Surgeons of Los Angeles, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3300 Providence Dr
Suite B104
Anchorage, AK 99508-4690
Phone (907) 212-7997

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3812AZMDOrthopedic Chiropractor
5414AKMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Hospitalist Group LLC CurrentSince Oct 31, 2022 Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Alaska Medical Clinics, LLC Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
First Care Medical Centers LLC Past Accepting new patients
Providence Health & Services-Washington PastSince Feb 5, 2025 Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

4300 B St
Ste 200
Anchorage, AK 99503
Phone (907) 276-1131

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15729/brand/1/csg/1/fhir/r4
  • Direct secure messaging: emartinezaugustin933433@ak.providencedirect.org

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1487772810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084105",
            "telephone_number": "866-907-1068",
            "fax_number": "425-917-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COMPASSION CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041645",
            "telephone_number": "907-212-9100",
            "fax_number": "907-212-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-AUGUSTIN",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AK",
            "license": "5414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018284",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emartinezaugustin933433@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "920 Compassion Cir",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995041645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emartinezaugustin933433@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "910 Compassion Cir",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995041645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.