Individual provider Active NPI

Ruth A Dukoff, MD

  • Child & Adolescent Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1760495246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
5685 Issued in AK
Practice address
2530 Debarr Rd
Anchorage, AK 99508-2948
Phone
(907) 563-1777
Fax
(907) 561-7464
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 5685 AK Primary

Addresses

Primary practice location

2530 Debarr Rd
Anchorage, AK 99508-2948

Mailing address

PO Box 241889
Anchorage, AK 99524-1889
Phone (907) 563-1777

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
I20160509002423 AK Practitioner - Psychiatry 1153319330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
JS Weill Medical College, Cornell University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1650 Bragaw St
Anchorage, AK 99508-3435
Phone (907) 258-7575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5685AKMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth Dukoff, MD, PC CurrentSince Nov 1, 2018 Accepting new patients
Alaska Hospitalist Group LLC CurrentSince Apr 1, 2016 Accepting new patients
Frontline Residential Treatment Center LLC Past Accepting new patients
Frontline Hospital LLC Past Accepting new patients
Frontline Residential Treatment Center LLC Past Accepting new patients

Locations

2530 Debarr Rd
Anchorage, AK 99508
Phone (907) 258-7575

4300 B St
Ste 200
Anchorage, AK 99503
Phone (907) 276-1131

1650 Bragaw St
Anchorage, AK 99508
Phone (907) 258-7575

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760495246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241889",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241889",
            "telephone_number": "907-563-1777",
            "fax_number": "907-561-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 DEBARR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082948",
            "telephone_number": "907-563-1777",
            "fax_number": "907-561-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKOFF",
        "first_name": "RUTH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AK",
            "license": "5685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.