Individual provider Active NPI

Roy E Howard, PA-C

  • Medical Physician Assistant
  • Anchorage, AK
National Provider Identifier
1689667586
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1495 Issued in AK
Practice address
615 E 82ND Ave Ste 204
Anchorage, AK 99518-3159
Phone
(907) 865-8455
Fax
(913) 246-4901
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1495 AK Primary

Addresses

Primary practice location

615 E 82ND Ave Ste 204
Anchorage, AK 99518-3159

Mailing address

615 E 82ND Ave Ste 204
Anchorage, AK 99518-3159
Phone (907) 865-8455

Other practice location 1

615 E 82nd Ave Ste 302
Anchorage, AK 99518-3159
Phone (907) 865-8455

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816000420 AK Practitioner - Physician Assistant 6608806096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anchorage Dermatology and Cosmetics LLCGroup PAC ID 7416288550, 5 clinicians

Practice addresses (Care Compare)

615 E 82ND Ave
Anchorage, AK 99518-3159
Phone (907) 865-8455

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1495AKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kindae Dermatology and Aesthetics LLC PastSince Jun 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1689667586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVE STE 204",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183159",
            "telephone_number": "907-865-8455",
            "fax_number": "913-246-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVE STE 204",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183159",
            "telephone_number": "907-865-8455",
            "fax_number": "913-246-4901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E 82nd Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995183159",
            "country_code": "US",
            "telephone_number": "907-865-8455",
            "fax_number": "913-246-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "ROY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "1495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.