Robert Matthew Monberg, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MEDS3855 Issued in AK

Practice address

3788 University Ave S Ste 304
Fairbanks, AK 99709-4680

Phone

(907) 456-4825

Fax

(907) 456-4899

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Tanana Valley Clinic LLC

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1922559558
  Medicare reassignment NPD
• Tanana Valley Clinic LLC

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1073081485
  NPD

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1679548747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3788 UNIVERSITY AVE S STE 304",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094680",
            "telephone_number": "907-456-4825",
            "fax_number": "907-456-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3788 UNIVERSITY AVE S STE 304",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094680",
            "telephone_number": "907-456-4825",
            "fax_number": "907-456-4899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2165 Ermine Dr",
            "address_purpose": "LOCATION",
            "city": "North Pole",
            "state": "AK",
            "postal_code": "997057572",
            "country_code": "US",
            "telephone_number": "907-488-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONBERG",
        "first_name": "ROBERT",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AK",
            "license": "MEDS3855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis C Mobius, BA
• Inga Moe
• Larry Moen, LPC
• Gary Ian Molk, D.O.
• Molly Leahy, LPC, PC
• Cristina Mondelli, DMD
• Kristin Ann Moneymaker
• Monique Mayo LLC
• John Monk
• Sally Monk

• General Practice Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• General Practice Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.