Active NPI
John Clyde Cates, D.O.
- Family Medicine Physician
- Anchorage, AK
National Provider Identifier
1558333146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2629
- Practice address
- 2841 Debarr Rd
Suite 22
Anchorage, AK 99508-2932 - Phone
- (907) 276-6301
- Fax
- (907) 264-1541
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2629 | AK | Primary |
Addresses
Primary practice location
2841 Debarr Rd
Suite 22
Anchorage, AK 99508-2932
Mailing address
2841 Debarr Rd
Suite 22
Anchorage, AK 99508-2932
Phone (907) 276-6301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD2629 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 15, 2016 through Mar 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2629 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Medical Clinics, LLC | Family Medicine | Past | Accepting new patients |
| Alaska Urgent Care, LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1558333146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 DEBARR RD",
"address_2": "SUITE 22",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082932",
"telephone_number": "907-276-6301",
"fax_number": "907-264-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 DEBARR RD",
"address_2": "SUITE 22",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082932",
"telephone_number": "907-276-6301",
"fax_number": "907-264-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATES",
"first_name": "JOHN",
"middle_name": "CLYDE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "2629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD2629",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.