NPIMap

Individual provider Active NPI

Jeffrey Melendez, MD

  • Hospitalist Physician
  • Anchorage, AK
National Provider Identifier
1801914023
Registry record updated Jul 21, 2022
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Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
6554 Issued in AK
Practice address
4300 B St Ste 200
Anchorage, AK 99503
Phone
(907) 375-3355
Fax
(907) 375-3351
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X ME97953 FL
Hospitalist Physician 208M00000X 6554 AK Primary
Hospitalist Physician 208M00000X 14254 HI

Addresses

Primary practice location

4300 B St Ste 200
Anchorage, AK 99503

Mailing address

4300 B St Ste 200
Anchorage, AK 99503-5933
Phone (907) 375-3355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20090423000072 AK Practitioner - HospitalistPractitioner - Internal Medicine 8123119229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Florida College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Hospitalist Group LLCGroup PAC ID 6507755964, 84 clinicians

Practice addresses (Care Compare)

4300 B St
Suite 200
Anchorage, AK 99503-5933
Phone (907) 375-3355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6554AKMDHospitalist Physician
14254HIMDHospitalist Physician
ME97953FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Hospitalist Group LLC CurrentSince Aug 1, 2015 Accepting new patients
Fairbanks Memorial Physician Specialities Past Accepting new patients
Mat-Su Valley Medical Center LLC Hospitalist Past Accepting new patients

Locations

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

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

232 W Rockwell Ave
Soldotna, AK 99669
Phone (907) 375-3355

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ancora Home Health & HospiceWasilla, AK, CCN 027008 Home health agency W-2 Managing Employee Mar 1, 2025
Ancora Home Health & HospiceWasilla, AK, CCN 021500 Hospice Contracted Managing Employee Sep 1, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 4

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801914023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 B ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035933",
            "telephone_number": "907-375-3355",
            "fax_number": "907-375-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 B ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-375-3355",
            "fax_number": "907-375-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "ME97953",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AK",
            "license": "6554",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "HI",
            "license": "14254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.