Individual provider Active NPI

Melodie Isgro, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Anchorage, AK
National Provider Identifier
1528094968
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
109713 Issued in AK
Practice address
4000 Laurel St
Anchorage, AK 99508-5333
Phone
(907) 729-6300
Fax
(907) 729-6314
NPI assigned
Jun 25, 2006
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 109713 AK Primary

Addresses

Primary practice location

4000 Laurel St
Anchorage, AK 99508-5333

Mailing address

4000 Laurel St
Anchorage, AK 99508-5333
Phone (907) 729-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170106001174 AK Practitioner - Emergency MedicinePractitioner - Addiction Medicine 9830166933 Reassigns benefits to 1 organization
I20171107001103 TX Practitioner - Addiction Medicine 9830166933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.77 of 100Reported as group
Quality
76.11
Promoting interoperability
100
Improvement activities
40
Cost
79.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Aleutian Tribes, Inc. CurrentSince Aug 20, 2016 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Eastern Aleutian Tribes, Inc Current Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Oct 1, 2017 Accepting new patients
Eastern Aleutian Tribes, Inc. CurrentSince Aug 20, 2016 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation CurrentSince Oct 1, 2017 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
Southcentral Foundation Past Accepting new patients
Southcentral Foundation Past Accepting new patients

Locations

3380 C St
Ste 100
Anchorage, AK 99503
Phone (907) 277-1440

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

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

Interoperability endpoints

  • Direct secure messaging: misgro@direct.scf.cc

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1528094968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LAUREL ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085333",
            "telephone_number": "907-729-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LAUREL ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085333",
            "telephone_number": "907-729-6300",
            "fax_number": "907-729-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISGRO",
        "first_name": "MELODIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "AK",
            "license": "109713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.