Individual provider Active NPI

Peter J Osterbauer, M.D.

  • Neurology Physician
  • Eagle River, AK
National Provider Identifier
1831115955
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MEDS6271 Issued in AK
Practice address
10928 Eagle River Rd Ste 129
Eagle River, AK 99577-8078
Phone
(907) 531-1840
Fax
(907) 531-1835
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MEDS6271 AK Primary

Addresses

Primary practice location

10928 Eagle River Rd Ste 129
Eagle River, AK 99577-8078

Mailing address

PO Box 770165
Eagle River, AK 99577-0165
Phone (907) 864-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 18, 2025 through Nov 18, 2027

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Tennessee, HSC, College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1700 E Bogard Rd
Suite B203
Wasilla, AK 99654-6570
Phone (907) 921-5088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MEDS6271AKMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Osterbauer Clinic LLC Neurology CurrentSince Apr 6, 2021 Accepting new patients
Alaska Sleep Disorder Center LLC Neurology CurrentSince Apr 7, 2012 Accepting new patients

Locations

3841 Piper St
Ste T345
Anchorage, AK 99508
Phone (907) 339-1945

3400 Latouche St
Ste 200
Anchorage, AK 99508
Phone (907) 563-2122

1200 Airport Heights Dr
Ste 240
Anchorage, AK 99508
Phone (907) 278-2070

10928 Eagle River Rd
Ste 129
Eagle River, AK 99577
Phone (907) 531-1840

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.

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": "1705276800000",
    "number": "1831115955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770165",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995770165",
            "telephone_number": "907-864-0022",
            "fax_number": "877-725-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD STE 129",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778078",
            "telephone_number": "907-531-1840",
            "fax_number": "907-531-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERBAUER",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AK",
            "license": "MEDS6271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

Verify at the official NPI Registry.