NPIMap

Individual provider Active NPI

Jeffrey Dale Medland, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Anchorage, AK
National Provider Identifier
1780733105
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
7131 Issued in AK
Practice address
2841 Debarr Rd
Suite 43
Anchorage, AK 99508-2958
Phone
(907) 274-7847
Fax
(907) 274-7845
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036084627 IL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 7131 AK Primary

Addresses

Primary practice location

2841 Debarr Rd
Suite 43
Anchorage, AK 99508-2958

Mailing address

2841 Debarr Rd
Suite 43
Anchorage, AK 99508-2958
Phone (907) 274-7847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825002706 TX Practitioner - Internal MedicinePractitioner - Endocrinology 3072827617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3801 University Lake Dr
Anchorage, AK 99508-4658
Phone (907) 563-2662

3900 Ambassador Dr
Anchorage, AK 99508-5922
Phone (907) 563-2662

3976 University Lake Dr
Suite 100
Anchorage, AK 99508-4644
Phone (907) 563-2662

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

4320 Diplomacy Dr
Anchorage, AK 99508-5925
Phone (907) 265-4955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7131AKMDEndocrinology, Diabetes & Metabolism Physician
036084627ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrzej Maciejewski MD, Inc CurrentSince Nov 12, 2017 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 25, 2016 Accepting new patients

Locations

3260 Providence Dr
Ste 523
Anchorage, AK 99508
Phone (907) 222-1714

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

3260 Providence Dr
Ste 526
Anchorage, AK 99508
Phone (907) 222-1714

Interoperability endpoints

  • Direct secure messaging: jdmedland@direct.anthc.org

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1780733105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD",
            "address_2": "SUITE 43",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082958",
            "telephone_number": "907-274-7847",
            "fax_number": "907-274-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 DEBARR RD",
            "address_2": "SUITE 43",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082958",
            "telephone_number": "907-274-7847",
            "fax_number": "907-274-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLAND",
        "first_name": "JEFFREY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036084627",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AK",
            "license": "7131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.