Individual provider Active NPI

Michael Leon Pomo, MD

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1689723116
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3451 Issued in AK
Practice address
3841 Piper Street
Suite T3-162
Anchorage, AK 99508-0000
Phone
(907) 258-1258
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 3451 AK Primary

Addresses

Primary practice location

3841 Piper Street
Suite T3-162
Anchorage, AK 99508-0000

Mailing address

3841 Piper Street
Suite T3-162
Anchorage, AK 99508
Phone (907) 258-1258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3451AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alyeska Family Medicine Inc PastSince Sep 1, 2015 Accepting new patients
Maniilaq Association Past Accepting new patients
Maniilaq Association Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689723116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 PIPER STREET",
            "address_2": "SUITE T3-162",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-258-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER STREET",
            "address_2": "SUITE T3-162",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995080000",
            "telephone_number": "907-258-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMO",
        "first_name": "MICHAEL",
        "middle_name": "LEON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.