Cristin Moira O'Grady, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

182519 Issued in NC

Practice address

3449 E Rezanof Dr
Kodiak, AK 99615-6952

Phone

(907) 486-9800

NPI assigned

Jun 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Tufts University School of Medicine, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Kodiak Island Health Care FoundationGroup PAC ID 8022922509, 15 clinicians

Providence Health and Services WashingtonGroup PAC ID 5799675120, shared by 3 NPIs, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Kodiak Island Medical Ctr Hospital, Kodiak, AK, CCN 021306
• Providence Kodiak Island Medical Ctr Nursing home, CCN 02Z306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cogrady292660@direct.ochin.org

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.

• Kodiak Island Health Care Foundation

  • Federally Qualified Health Center (FQHC)
  • Kodiak, AK
  • NPI 1326047044
  Medicare reassignment Care Compare group NPD
• Providence Health & Services Washington

  • Critical Access Hospital
  • Kodiak, AK
  • NPI 1013905660
  Medicare reassignment NPD
• Providence Health & Services Washington

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kodiak, AK
  • NPI 1952430902
  Medicare reassignment NPD
• Providence Health & Services - Washington

  • Home Health Agency
  • Kodiak, AK
  • NPI 1891899597
  NPD

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

• Providence Health & Services Washington

  • Critical Access Hospital
  • Kodiak, AK
  • NPI 1013905660
  Care Compare affiliation
• Providence Health & Services Washington

  • Skilled Nursing Facility
  • Kodiak, AK
  • NPI 1790889400

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1659635225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 E REZANOF DRIVE",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "99615",
            "telephone_number": "907-486-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156952",
            "telephone_number": "907-486-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GRADY",
        "first_name": "CRISTIN",
        "middle_name": "MOIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "182519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Newman
• Maria N Ngethe
• Kevin Joseph Nolan, M.D.
• North Pacific Medical Center
• Kathleen Nussbaum, ANP
• Shannon O'Neal
• Amy G. Ogrinc, DENTAL ASSISTANT
• Elaine Loomis Olsen, LMSW
• Orthoalaska, LLC
• Pacific Northwest Radiology

• Family Medicine Physician in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.

Verify at the official NPI Registry.