NPIMap

Individual provider Active NPI

Nathaniel L Haddock, M.D.

  • Internal Medicine Physician
  • Juneau, AK
National Provider Identifier
1659397065
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4177 Issued in AK
Practice address
10301 Glacier Hwy
Juneau, AK 99801-8561
Phone
(907) 789-2910
Fax
(907) 789-5545
NPI assigned
Jul 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4177 AK Primary

Addresses

Primary practice location

10301 Glacier Hwy
Juneau, AK 99801-8561

Mailing address

10301 Glacier Hwy
Juneau, AK 99801-8561
Phone (907) 789-2910

Other identifiers 1

IdentifierTypeStateIssuer
MD87952MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222001042 AK Practitioner - Internal Medicine 3678523503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bartlett Regional HospitalGroup PAC ID 0941790539, 7 clinicians

Practice addresses (Care Compare)

10301 Glacier Hwy
Juneau, AK 99801-8565
Phone (907) 789-2910

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions77
Removal or shaving of skin growth18
Skin biopsy13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4177AKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bartlett Regional Hospital CurrentSince Sep 1, 2025 Accepting new patients

Locations

10301 Glacier Hwy
Juneau, AK 99801
Phone (907) 789-2910

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659397065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 GLACIER HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018561",
            "telephone_number": "907-789-2910",
            "fax_number": "907-789-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GLACIER HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018561",
            "telephone_number": "907-789-2910",
            "fax_number": "907-789-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOCK",
        "first_name": "NATHANIEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "4177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD87952",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.