Individual provider Active NPI

David E Telford, M.D.

  • Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1750307450
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
3725 Issued in AK
Practice address
3260 Providence Dr
Tower C, Suite 537
Anchorage, AK 99508-4661
Phone
(907) 212-3090
NPI assigned
Jul 14, 2006
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 3725 AK Primary

Addresses

Primary practice location

3260 Providence Dr
Tower C, Suite 537
Anchorage, AK 99508-4661

Mailing address

PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068

Other identifiers 1

IdentifierTypeStateIssuer
1013418MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dtelford8677@ak.providencedirect.org

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
I20071219000410 AK Practitioner - Psychiatry 7719077353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northeastern Ohio University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services - WashingtonGroup PAC ID 8628965910, 47 clinicians

Practice addresses (Care Compare)

3760 Piper St
Suite 1108a
Anchorage, AK 99508-4683
Phone (907) 212-6900

920 E 72ND Ave
Anchorage, AK 99518-2810
Phone (907) 222-0753

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.61 of 100Reported as group
Quality
71.98
Promoting interoperability
99
Improvement activities
40
Cost
77.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3725AKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington Psychiatry CurrentSince Jan 1, 2008 Accepting new patients
Willow, LLC Psychiatry CurrentSince Oct 10, 2024 Accepting new patients
True North TMS LLC Psychiatry CurrentSince Oct 10, 2024 Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Alaska Heart Institute Past Accepting new patients

Locations

3260 Providence Dr
Ste 422
Anchorage, AK 99508
Phone (907) 561-0004

3760 Piper St
Ste 1108A
Anchorage, AK 99508
Phone (907) 212-6900

920 E 72nd Ave
Anchorage, AK 99518
Phone (907) 222-0753

Interoperability endpoints

  • Direct secure messaging: dtelford8677@ak.providencedirect.org

Organizations & group practices 5

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1750307450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084105",
            "telephone_number": "866-907-1068",
            "fax_number": "425-917-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR",
            "address_2": "TOWER C, SUITE 537",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084661",
            "telephone_number": "907-212-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELFORD",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "3725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013418",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dtelford8677@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3260 Providence Dr",
            "address_2": "Tower C, Suite 537",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995084661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.