Individual provider Active NPI

Christopher Thomas Patricoski, M.D.

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1669518957
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3799 Issued in AK
Practice address
12350 Industry Way
Anchorage, AK 99515-4300
Phone
(907) 345-4343
Fax
(907) 345-6232
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3799 AK Primary

Addresses

Primary practice location

12350 Industry Way
Anchorage, AK 99515-4300

Mailing address

14235 Hancock Dr
Anchorage, AK 99515-3961
Phone (907) 522-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050510000360 AK Practitioner - Family Practice 5193765113 Reassigns benefits to 1 organization
I20121126000646 FL Practitioner - Family PracticePractitioner - Emergency Medicine 5193765113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
West Virginia University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Physician Network LLC Series IGroup PAC ID 7214202365, 40 clinicians
Global Physician Network LLC Series IIGroup PAC ID 7012282775, 67 clinicians

Practice addresses (Care Compare)

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-9000

6331 S Tamiami TRL
Global Physician Network LLC Series 1
Sarasota, FL 34231-3917
Phone (941) 917-5678

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3799AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Physician Network LLC Series I CurrentSince Jul 15, 2017 Accepting new patients
Mat-Su Valley Medical Center LLC CurrentSince Jul 8, 2018 Accepting new patients
Mat Su Valley Medical Center LLC CurrentSince Jul 8, 2018 Accepting new patients
Global Physician Network LLC Series II CurrentSince Jul 12, 2017 Accepting new patients
Alaska Medical Clinics, LLC Family Medicine Past Accepting new patients

Locations

950 E Bogard Rd
Ste 213
Wasilla, AK 99654
Phone (907) 373-8050

950 E Bogard Rd
Ste 207
Wasilla, AK 99654
Phone (907) 357-9444

950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880

1040 River Heritage Blvd
Bradenton, FL 34212
Phone (941) 917-6440

6331 S Tamiami Trl
#1
Sarasota, FL 34231
Phone (941) 917-5678

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678

Organizations & group practices 5

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 1

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1669518957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14235 HANCOCK DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153961",
            "telephone_number": "907-522-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 INDUSTRY WAY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995154300",
            "telephone_number": "907-345-4343",
            "fax_number": "907-345-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICOSKI",
        "first_name": "CHRISTOPHER",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.