Individual provider Active NPI

Mary Klix, MD

  • Hematology & Oncology Physician
  • Anchorage, AK
National Provider Identifier
1669447595
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
112773 Issued in MO
Practice address
3851 Piper Street, Ste 4340
Anchorage, AK 99508
Phone
(907) 562-0321
Fax
(907) 562-2683
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 112773 MO Primary

Addresses

Primary practice location

3851 Piper Street, Ste 4340
Anchorage, AK 99508

Mailing address

3851 Piper Street, Ste 4340
Anchorage, AK 99508
Phone (907) 562-0321

Other practice location 1

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

Other identifiers 1

IdentifierTypeStateIssuer
205676729MedicaidMO

Other names 1

  • Mary M Komanetsky Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180515000938 AK Practitioner - Hematology/OncologyPractitioner - HematologyPractitioner - Medical Oncology 8224019435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hematology
Education
University of Missouri, Columbia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Katmai Oncology Group LLCGroup PAC ID 3072400498, 11 clinicians

Practice addresses (Care Compare)

3851 Piper St
Suite U340
Anchorage, AK 99508-6904
Phone (907) 562-0321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.97 of 100Reported as group
Quality
78.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112773MOMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Katmai Oncology Group, LLC Hematology & Oncology CurrentSince Jun 24, 2024 Accepting new patients
Katmai Oncology Group, LLC CurrentSince Feb 14, 2021 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients
Mercy Arch Hematology Oncology Group Inc. Hematology & Oncology Past Accepting new patients

Locations

3851 Piper St
Ste U340
Anchorage, AK 99508
Phone (907) 562-0321

3851 Piper St
Ste 4340
Anchorage, AK 99508
Phone (907) 562-0321

12001 Business Blvd
Eagle River, AK 99577
Phone (907) 212-3420

12001 Business Blvd
Ste 3C
Eagle River, AK 99577
Phone (907) 562-0321

Interoperability endpoints

  • Direct secure messaging: mary.klix@katmai.ikm.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1669447595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PIPER STREET, STE 4340",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-562-0321",
            "fax_number": "907-562-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER STREET, STE 4340",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-562-0321",
            "fax_number": "907-562-2683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041016",
            "country_code": "US",
            "telephone_number": "314-617-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLIX",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "112773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205676729",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KOMANETSKY",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.