Active NPI
Thomas Deblauw, PA-C
- Physician Assistant
- Fairbanks, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2311
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1610611 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2311 | AK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Alaska Regional Health Constortium | Current | Accepting new patients | |
| Fairbanks Memorial Cardiology Center, LLC | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1386193472
-
- Urgent Care Clinic/Center
- Denali Park, AK
- NPI 1770724510
-
- Clinic/Center
- Juneau, AK
- NPI 1427941343
-
- Clinic/Center
- Juneau, AK
- NPI 1881374650
-
- Critical Access Hospital
- Sitka, AK
- NPI 1720062524
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairbanks, AK
- NPI 1720537178
-
- Clinic/Center
- Tenakee Springs, AK
- NPI 1477721280
Hospital
-
- Nursing Facility/Intermediate Care Facility
- Juneau, AK
- NPI 1932312485
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.