Benjamin Grant Ekstrom, M.D.
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Anchorage, AK
NPI 1740556992 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1740556992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 128515 (AK)
- Practice address
- 2925 Debarr Road St 240
Anchorage, AK 99508-2959 - Phone
- (907) 339-4650
- Fax
- (907) 339-4694
- NPI assigned
- Mar 31, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Medical College of Wisconsin, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Neuroversion
Providence Anchorage Anesthesia Medical Group PC
Practice addresses (Care Compare)
2925 Debarr Rd
Suite D240
Anchorage, AK 99508-2900
Phone (907) 339-4650
3300 Providence Dr
Suite 207
Anchorage, AK 99508-4620
Phone (907) 561-0005
Hospital & facility affiliations
- Providence Alaska Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.68 of 100
- Quality
- 82.26
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.32
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180621001356 | AK | Practitioner - Anesthesiology | 5193966331 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of Chrmc and University Physicians | Anesthesiology | Current |
Accepting new patients |
| Alaska Center for Pain Relief Inc | Current |
Accepting new patients | |
| Alaska Center for Pain Relief Inc | Current |
Accepting new patients | |
| Association of CHMC and University Physicians | Current |
Accepting new patients | |
| Neuroversion | Current |
Accepting new patients | |
| Providence Anchorage Anesthesia Medical Group, P.C. | Anesthesiology | Current |
Accepting new patients |
| University Hospitals Medical Group Inc | Anesthesiology | Past |
Accepting new patients |
Locations
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
3300 Providence Dr
Ste 207
Anchorage, AK 99508
Phone (907) 279-0555
2925 Debarr Rd
Ste 240
Anchorage, AK 99508
Phone (907) 339-4650
2925 Debarr Rd
Anchorage, AK 99508
Phone (907) 257-4854
3851 Piper St
Ste U464
Anchorage, AK 99508
Phone (907) 339-0363
2925 Debarr Rd
Ste D240
Anchorage, AK 99508
Phone (907) 290-1683
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
Interoperability endpoints
- https://api.platform.athenahealth.com/10583/brand/2/csg/1/fhir/r4
- benjamin.ekstrom@neu.eclinicaldirectplus.com
- ben.ekstrom@direct.vmmc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 128515 | AK | |
| Pediatric Anesthesiology Physician | 207LP3000X | 128515 | AK | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 128515 | AK | Yes |
Addresses
Primary practice location
2925 Debarr Road St 240
Anchorage, AK 99508-2959
Mailing address
2925 Debarr Road St 240
Anchorage, AK 99508-2959
Phone (907) 339-4650
Other providers in Anchorage, AK
- Jessica Eissler
- Lee Ann Eissler
- Lauri Moser Ek-Watson
- Stephanie L Eklund
- Ledjha Ekstedt
- Carl Ekstrom
- Hannah Elizabeth Ekstrom
- Elaine'S Place
- Hannah Elam
- Teryl Elam
All providers in Anchorage, AK · Pain Medicine (Anesthesiology) Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.