Individual provider Active NPI

Alois Albin Treybal, D.O.

  • Family Medicine Physician
  • Fairbanks, AK
National Provider Identifier
1750521746
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8239 Issued in AK
Practice address
1001 Noble St
Fairbanks, AK 99701-4948
Phone
(907) 459-3500
Fax
(907) 459-3526
NPI assigned
Mar 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A1491-09 NM
Family Medicine Physician 207Q00000X 8239 AK Primary

Addresses

Primary practice location

1001 Noble St
Fairbanks, AK 99701-4948

Mailing address

1001 Noble St
Fairbanks, AK 99701-4948
Phone (907) 459-3500

Other identifiers 1

IdentifierTypeStateIssuer
1626663MedicaidAK

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
I20150616002932 AK Practitioner - Family Practice 9335270453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Alpine Medical Group LLCGroup PAC ID 7113302373, 9 clinicians

Practice addresses (Care Compare)

2054 30TH Ave
Fairbanks, AK 99701-7316
Phone (907) 455-4555

605 Chief Thomas Dr
Fairbanks, AK 99709-4848
Phone (907) 455-4555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A1491-09NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Medical Group LLC Family Medicine CurrentSince May 16, 2024 Accepting new patients
Golden Heart Medical, LLC Family Medicine CurrentSince Jun 30, 2026 Accepting new patients
Iliuliuk Family &Health Services, Inc. Past Accepting new patients

Locations

605 Chief Thomas Dr
Fairbanks, AK 99709
Phone (907) 455-4555

2054 30th Ave
Fairbanks, AK 99701
Phone (907) 455-4555

1626 30th Ave
Ste 200
Fairbanks, AK 99701
Phone (907) 479-7701

Interoperability endpoints

  • Direct secure messaging: alois.treybal@foundationhealth.cernerdirect.com
  • Direct secure messaging: alois.treybal.1@24993.direct.athenahealth.com

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.

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": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1750521746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NOBLE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014948",
            "telephone_number": "907-459-3500",
            "fax_number": "907-459-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NOBLE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014948",
            "telephone_number": "907-459-3500",
            "fax_number": "907-459-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREYBAL",
        "first_name": "ALOIS",
        "middle_name": "ALBIN",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A1491-09",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "8239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1626663",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.