Active NPI
Steven James Kilkenny, MD
- Family Medicine Physician
- Anchorage, AK
National Provider Identifier
1871663179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1717
- Practice address
- 1301 Huffman Road
Suite 100
Anchorage, AK 99515 - Phone
- (907) 345-1199
- Fax
- (907) 345-5931
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1717 | AK | Primary |
Addresses
Primary practice location
1301 Huffman Road
Suite 100
Anchorage, AK 99515
Mailing address
1301 Huffman Road
Suite 205
Anchorage, AK 99515
Phone (907) 345-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD01711 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1717 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Medical Clinics, LLC | Family Medicine | Past | Accepting new patients |
| Aesthetica Medical Spa LLC | Past | Accepting new patients | |
| First Care Medical Centers LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15729/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871663179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 HUFFMAN ROAD",
"address_2": "SUITE 205",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99515",
"telephone_number": "907-345-2050",
"fax_number": "907-345-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 HUFFMAN ROAD",
"address_2": "SUITE 100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99515",
"telephone_number": "907-345-1199",
"fax_number": "907-345-5931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILKENNY",
"first_name": "STEVEN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "1717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD01711",
"state": "AK"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.