Organization Active NPI

Martin P. Kaszubowski, M.D., P.C.

  • Gastroenterology Physician
  • Anchorage, AK
National Provider Identifier
1871125856
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MARTIN P. KASZUBOWSKI, M.D., P.C.
Practice address
3851 Piper St Ste U466
Anchorage, AK 99508-6905
Phone
(907) 569-1333
NPI assigned
Feb 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Martin Peter Kaszubowski, MDNPI 1518016187
Title
President
Phone
(240) 426-7436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3851 Piper St Ste U466
Anchorage, AK 99508-6905

Mailing address

3851 Piper St Ste U466
Anchorage, AK 99508-6905
Phone (907) 569-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200427000101 AK Part B Supplier - Clinic/Group Practice 7719317163 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

3851 Piper St
Ste U466
Anchorage, AK 99508
Phone (800) 788-7465

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1871125856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST STE U466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086905",
            "telephone_number": "907-569-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST STE U466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086905",
            "telephone_number": "907-569-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN P. KASZUBOWSKI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "KASZUBOWSKI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-426-7436",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.