NPIMap

Individual provider Active NPI

Michael Benjamin Thruangsnga-Kent, PA-C

  • Surgical Physician Assistant
  • Anchorage, AK
National Provider Identifier
1871263244
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
3841 Piper St Ste T300
Anchorage, AK 99508-4685
Phone
(907) 563-3103
NPI assigned
Sep 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AK
Medical Physician Assistant 363AM0700X AK
Surgical Physician Assistant 363AS0400X AK Primary

Addresses

Primary practice location

3841 Piper St Ste T300
Anchorage, AK 99508-4685

Mailing address

3841 Piper St Ste T300
Anchorage, AK 99508-4685
Phone (907) 563-3103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220407000876 AK Practitioner - Physician Assistant 9638565211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alaska Urology LLCGroup PAC ID 2567351513, 20 clinicians

Practice addresses (Care Compare)

3841 Piper St
T300
Anchorage, AK 99508-4685
Phone (907) 563-3103

4201 Bartlett St
Suite 201
Homer, AK 99603-7015
Phone (907) 235-0310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

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 and National Provider Directory roles.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1871263244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST STE T300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084685",
            "telephone_number": "907-563-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST STE T300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084685",
            "telephone_number": "907-563-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRUANGSNGA-KENT",
        "first_name": "MICHAEL",
        "middle_name": "BENJAMIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2022-05-16",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.