Individual provider Active NPI

Kurt D Mentzer, MD

  • Orthopaedic Hand Surgery Physician
  • Anchorage, AK
National Provider Identifier
1891882213
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
6265 Issued in AK
Practice address
2741 Debarr Rd Ste C408
Anchorage, AK 99508-2980
Phone
(076) 467-8469
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 6265 AK Primary
Orthopaedic Hand Surgery Physician 207XS0106X D62258 MD

Addresses

Primary practice location

2741 Debarr Rd Ste C408
Anchorage, AK 99508-2980

Mailing address

2741 Debarr Rd Ste C408
Anchorage, AK 99508-2980
Phone (076) 467-8469

Other identifiers 2

IdentifierTypeStateIssuer
MD3017MedicaidAK
6265OtherAKSTATE LICENSE

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
I20110318000102 AK Practitioner - Orthopedic Surgery 8325221088 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D62258MDMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Shoulder and Orthopaedic Institute CurrentSince Nov 26, 2023 Accepting new patients
South Peninsula Hospital, Inc. CurrentSince Mar 1, 2022 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Aug 28, 2019 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Aug 28, 2019 Accepting new patients
Jeffrey S. Moore MD and Elisha T. Powell IV MD LLC Past Accepting new patients
Orthoalaska LLC PastSince Jan 21, 2024 Accepting new patients

Locations

2741 Debarr Rd
Ste C408
Anchorage, AK 99508
Phone (907) 646-7846

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
  • Direct secure messaging: kurt.mentzer.1@14977.direct.athenahealth.com

Organizations & group practices 7

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1891882213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C408",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082980",
            "telephone_number": "076-467-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C408",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082980",
            "telephone_number": "076-467-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTZER",
        "first_name": "KURT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "AK",
            "license": "6265",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MD",
            "license": "D62258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD3017",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6265",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.