Individual provider Active NPI

Leland Grohs, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1518665249
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2741 Debarr Rd Ste C408
Anchorage, AK 99508-2980
Phone
(907) 686-7846
NPI assigned
Feb 22, 2023
Last updated
Jun 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

2741 Debarr Rd Ste C408
Anchorage, AK 99508-2980

Mailing address

2741 Debarr Rd Ste C408
Anchorage, AK 99508-2980
Phone (907) 646-7846

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230516003366 AK Practitioner - Physician Assistant 4284090333 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Network of Alaska, LLC Current Accepting new patients
Medical Network of Alaska, LLC CurrentSince Apr 1, 2023 Accepting new patients
Alaska Shoulder and Orthopaedic Institute CurrentSince Jun 16, 2024 Accepting new patients
Medical Network of Alaska, LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

1100 E Dimond Blvd
Anchorage, AK 99515
Phone (907) 565-6000

2741 Debarr Rd
Ste C408
Anchorage, AK 99508
Phone (907) 646-7846

3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625

3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332

Interoperability endpoints

  • Direct secure messaging: leland.grohs.1@31293.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1518665249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C408",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082980",
            "telephone_number": "907-646-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C408",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082980",
            "telephone_number": "907-686-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROHS",
        "first_name": "LELAND",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.