Individual provider Active NPI

Paul Andrew Becker, PA-C

  • Medical Physician Assistant
  • Anchorage, AK
National Provider Identifier
1831173889
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3730 Rhone Cir
Suite 203
Anchorage, AK 99508-5054
Phone
(907) 563-3515
Fax
(907) 563-3541
NPI assigned
Dec 2, 2005
Last updated
Dec 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3730 Rhone Cir
Suite 203
Anchorage, AK 99508-5054

Mailing address

3730 Rhone Cir
Suite 203
Anchorage, AK 99508-5054
Phone (907) 563-3515

Other identifiers 1

IdentifierTypeStateIssuer
102647OtherAKALASKA STATE MEDICAL BOARD

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160112001826 AK Practitioner - Physician Assistant 1759683402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Specialists Alaska, IncGroup PAC ID 6204848294, 12 clinicians

Practice addresses (Care Compare)

3730 Rhone Cir
Suite 203
Anchorage, AK 99508-5054

3831 Piper St
Suite S433
Anchorage, AK 99508-6900
Phone (907) 561-1471

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1831173889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 RHONE CIR",
            "address_2": "SUITE 203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085054",
            "telephone_number": "907-563-3515",
            "fax_number": "907-563-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 RHONE CIR",
            "address_2": "SUITE 203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085054",
            "telephone_number": "907-563-3515",
            "fax_number": "907-563-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "PAUL",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALASKA STATE MEDICAL BOARD",
            "identifier": "102647",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.