Individual provider Active NPI

Christina Diller, M.D.

  • Pediatric Cardiology Physician
  • Anchorage, AK
National Provider Identifier
1841429420
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
141941 Issued in AK
Practice address
3260 Providence Dr Ste 532
Anchorage, AK 99508
Phone
(907) 565-2242
Fax
(907) 565-4502
NPI assigned
Jul 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101249153 VA
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Cardiology Physician 2080P0202X 141941 AK Primary

Addresses

Primary practice location

3260 Providence Dr Ste 532
Anchorage, AK 99508

Mailing address

3260 Providence Dr Ste 532
Anchorage, AK 99508-4608
Phone (907) 565-2242

Other practice location 1

3260 Providence Dr Ste 532
Anchorage, AK 99508
Phone (907) 565-2242

Other practice location 2

3260 Providence Dr Ste 532
Anchorage, AK 99508
Phone (907) 565-2242

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
I20140815001765 AK Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7911124847

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101249153VAMDPediatrics Physician
141941AKMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Childrens Heart Center Pediatric Cardiology Past Accepting new patients
Alaska Heart Institute Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6555/brand/1/csg/1/fhir/r4
  • Direct secure messaging: christina.diller.1@6555.direct.athenahealth.com

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": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1841429420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR STE 532",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084608",
            "telephone_number": "907-565-2242",
            "fax_number": "907-565-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR STE 532",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-565-2242",
            "fax_number": "907-565-4502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3260 Providence Dr Ste 532",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "99508",
            "country_code": "US",
            "telephone_number": "907-565-2242",
            "fax_number": "907-565-4502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3260 Providence Dr Ste 532",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "99508",
            "country_code": "US",
            "telephone_number": "907-565-2242",
            "fax_number": "907-565-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLER",
        "first_name": "CHRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-05",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101249153",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AK",
            "license": "141941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.