Individual provider Active NPI

Milan Bajmoczi, M.D.

  • Vascular Surgery Physician
  • Fairbanks, AK
National Provider Identifier
1700012598
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MEDS8033 Issued in AK
Practice address
1650 Cowles Street
Medical Staff SVCS
Fairbanks, AK 99701
Phone
(907) 452-8181
NPI assigned
Jun 8, 2009
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MEDS8033 AK Primary
Vascular Surgery Physician 2086S0129X 240421 MA

Addresses

Primary practice location

1650 Cowles Street
Medical Staff SVCS
Fairbanks, AK 99701

Mailing address

1122 Sunset Dr
Fairbanks, AK 99709-4744
Phone (907) 452-8181

Other identifiers 1

IdentifierTypeStateIssuer
1614811MedicaidAK

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
I20140804001619 AK Practitioner - Vascular Surgery 8325271059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Harvard Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

562 University Ave
Suite 100
Fairbanks, AK 99709-1234
Phone (907) 328-0965

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.82 of 100Reported as individual
Quality
87.25
Improvement activities
40
Cost
95.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MEDS8033AKMDVascular Surgery Physician
240421MAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks Vascular Surgery CurrentSince Jun 1, 2022 Accepting new patients
Fairbanks Memorial Hospital PastSince May 1, 2015 Accepting new patients

Locations

2485 Chief William Dr
#100
Fairbanks, AK 99709
Phone (907) 328-0965

562 University Ave
Ste 100
Fairbanks, AK 99709
Phone (907) 328-0965

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d2e61489-9680-4a3d-974a-fc8d705fc283/
  • Direct secure messaging: milan.bajmoczi@foundationhealth.cernerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1700012598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 SUNSET DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094744",
            "telephone_number": "907-452-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COWLES STREET",
            "address_2": "MEDICAL STAFF SVCS",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-452-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJMOCZI",
        "first_name": "MILAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AK",
            "license": "MEDS8033",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "240421",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1614811",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.