Active NPI
Pioneer Gi Clinic, Apc
- Gastroenterology Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 6191
- Legal business name
- PIONEER GI CLINIC, APC
- Practice address
- 1200 Airport Heights Dr
Ste 210
Anchorage, AK 99508-2965 - Phone
- (907) 562-6001
- Fax
- (907) 562-6002
- NPI assigned
- Jan 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ajay Pabby, MD
- Title
- President
- Phone
- (509) 818-7500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 6191 | AK | Primary |
Addresses
Primary practice location
1200 Airport Heights Dr
Ste 210
Anchorage, AK 99508-2965
Mailing address
1200 Airport Heights Dr
Ste. 210
Anchorage, AK 99508-2965
Phone (907) 562-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MDG033 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D2335640 | Pioneer Gi Clinic | Registration | Dec 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
1200 Airport Heights Dr
Ste 210
Anchorage, AK 99508
Phone (907) 263-2200
1200 Airport Heights Dr
Anchorage, AK 99508
1917 Abbott Rd
Ste 103
Anchorage, AK 99507
Phone (907) 770-3224
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Anchorage, AK
- NPI 1336453992
-
- Gastroenterology Registered Nurse
- Anchorage, AK
- NPI 1477413037
-
- Anatomic Pathology & Clinical Pathology Physician
- Charlotte, NC
- NPI 1932428851
AK
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652400000000",
"number": "1649457581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 AIRPORT HEIGHTS DR",
"address_2": "STE. 210",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082965",
"telephone_number": "907-562-6001",
"fax_number": "907-562-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 AIRPORT HEIGHTS DR",
"address_2": "STE 210",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082965",
"telephone_number": "907-562-6001",
"fax_number": "907-562-6002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER GI CLINIC, APC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-23",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A",
"authorized_official_last_name": "PABBY",
"authorized_official_first_name": "AJAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "509-818-7500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "AK",
"license": "6191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MDG033",
"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 May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.