NPIMap

Organization Active NPI

A4 Specialty Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
National Provider Identifier
1659010361
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
A4 SPECIALTY MEDICAL GROUP LLC
Practice address
510 W Tudor Rd Ste 1
Anchorage, AK 99503-6649
Phone
(907) 744-1944
Fax
(907) 921-7669
NPI assigned
Jun 1, 2022
Organization subpart
Yes
Parent organization
BIOMATRIX SPECIALTY PHARMACY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Edward P Kramm
Title
Chief Operating Officer
Phone
(913) 515-6719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

510 W Tudor Rd Ste 1
Anchorage, AK 99503-6649

Mailing address

855 SW 78TH Ave # C200
Plantation, FL 33324-3223
Phone (907) 744-1944

Other practice location 1

12113 E Maple Springs Way Ste B
Palmer, AK 99645-9648
Phone (907) 744-1944

Other names 1

  • LUX Infusion Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221013000870 AK Part B Supplier - Clinic/Group Practice 7315313558 Receives reassigned benefits from 6 practitioners
Practice locations: Anchorage, AK; Palmer, AK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2289101Lux Infusion-Anchorage510 W Tudor Rd, Ste 1, Anchorage, AK 99503Certificate of waiverSep 5, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

510 W Tudor Rd
Anchorage, AK 99503
Phone (907) 743-0050

12113 E Maple Springs Way
Ste B
Palmer, AK 99645
Phone (907) 744-1944

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1659010361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SW 78TH AVE # C200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243223",
            "telephone_number": "907-744-1944",
            "fax_number": "907-921-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W TUDOR RD STE 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036649",
            "telephone_number": "907-744-1944",
            "fax_number": "907-921-7669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12113 E Maple Springs Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996459648",
            "country_code": "US",
            "telephone_number": "907-744-1944",
            "fax_number": "907-921-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A4 SPECIALTY MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIOMATRIX SPECIALTY PHARMACY, LLC",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "KRAMM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "913-515-6719"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUX Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2026; 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.

Verify at the official NPI Registry.