Individual provider Active NPI

Katinna Elaine Rodriguez Baisi

  • Dermatology Physician
  • Anchorage, AK
National Provider Identifier
1841762580
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
230270 Issued in AK
Practice address
636 Barrow St
Anchorage, AK 99501-3631
Phone
(907) 276-1315
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 230270 AK Primary

Addresses

Primary practice location

636 Barrow St
Anchorage, AK 99501-3631

Mailing address

636 Barrow St
Anchorage, AK 99501-3631

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
I20250729004002 AK Practitioner - Dermatology 8123535630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ponce School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Janine D Miller MD IncGroup PAC ID 1658802343, 4 clinicians

Practice addresses (Care Compare)

636 Barrow St
Anchorage, AK 99501-3631
Phone (907) 276-1315

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions198
Removal or shaving of skin growth155
Skin biopsy82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230270AKMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas P Senter Apc Dermatology CurrentSince Jul 1, 2025 Accepting new patients
Janine D Miller MD Inc Dermatology CurrentSince Jul 1, 2025 Accepting new patients

Locations

636 Barrow St
Anchorage, AK 99501
Phone (907) 276-1315

4129 Bartlett St
Homer, AK 99603
Phone (907) 235-7000

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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1841762580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 BARROW ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 BARROW ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013631",
            "telephone_number": "907-276-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ BAISI",
        "first_name": "KATINNA",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AK",
            "license": "230270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.