Individual provider Active NPI

Armen Leon Roupenian, M.D.

  • Phlebology Physician
  • Anchorage, AK
National Provider Identifier
1629059845
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
7643 Issued in AK
Practice address
1200 Airport Heights Dr
Suite 220, Tower E
Anchorage, AK 99508-2965
Phone
(907) 929-2939
Fax
(866) 549-7637
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 39662 MA
Phlebology Physician 202K00000X 7643 AK Primary

Addresses

Primary practice location

1200 Airport Heights Dr
Suite 220, Tower E
Anchorage, AK 99508-2965

Mailing address

1200 Airport Heights Dr
Suite 220, Tower E
Anchorage, AK 99508-2965
Phone (907) 929-2939

Other identifiers 1

IdentifierTypeStateIssuer
1647541MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39662MAMDSpecialist
7643AKMDPhlebology Physician

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1629059845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR",
            "address_2": "SUITE 220, TOWER E",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082965",
            "telephone_number": "907-929-2939",
            "fax_number": "866-549-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR",
            "address_2": "SUITE 220, TOWER E",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082965",
            "telephone_number": "907-929-2939",
            "fax_number": "866-549-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUPENIAN",
        "first_name": "ARMEN",
        "middle_name": "LEON",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "39662",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "AK",
            "license": "7643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1647541",
            "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 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.