Individual provider Active NPI

Thomas Deblauw, PA-C

  • Physician Assistant
  • Fairbanks, AK
National Provider Identifier
1588085435
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2311 Issued in AK
Practice address
1905 Cowles St
Fairbanks, AK 99701-5914
Phone
(907) 374-0432
Fax
(907) 374-9932
NPI assigned
Dec 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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 2311 AK Primary

Addresses

Primary practice location

1905 Cowles St
Fairbanks, AK 99701-5914

Mailing address

1905 Cowles St
Fairbanks, AK 99701-5914
Phone (907) 374-0432

Other practice location 1

1650 Cowles St
Fairbanks, AK 99701-5998
Phone (907) 458-6450

Other identifiers 1

IdentifierTypeStateIssuer
1610611MedicaidAK

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140410000852 AK Practitioner - Physician Assistant 0446482285 Reassigns benefits to 2 organizations
I20220908003844 TX Practitioner - Physician Assistant 0446482285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairbanks Memorial Cardiology Center LLCGroup PAC ID 0244511269, 25 clinicians
Horizon Medical IncGroup PAC ID 4880733294, 5 clinicians

Practice addresses (Care Compare)

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 458-6450

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

Mile Post 238 8 Parks Hwy
Denali Park, AK 99755-2388
Phone (907) 683-4433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2311AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Constortium CurrentSince Aug 25, 2022 Accepting new patients
Fairbanks Memorial Cardiology Center, LLC CurrentSince Jan 20, 2026 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Aug 25, 2022 Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients

Locations

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

209 Moller Ave
Ste 100
Sitka, AK 99835
Phone (907) 747-1771

Interoperability endpoints

  • Direct secure messaging: thomas.deblauw.1@21088.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1588085435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015914",
            "telephone_number": "907-374-0432",
            "fax_number": "907-374-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015914",
            "telephone_number": "907-374-0432",
            "fax_number": "907-374-9932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Cowles St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997015998",
            "country_code": "US",
            "telephone_number": "907-458-6450",
            "fax_number": "907-458-6430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBLAUW",
        "first_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-19",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "2311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1610611",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.