Individual provider Active NPI

Timothy Coalwell, M.D.

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1932271152
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3354 Issued in AK
Practice address
2211 E Northern Lights Blvd
Anchorage, AK 99508-4103
Phone
(907) 279-8486
NPI assigned
Nov 14, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3354 AK Primary

Addresses

Primary practice location

2211 E Northern Lights Blvd
Anchorage, AK 99508-4103

Mailing address

3801 University Lake Dr Ste 301
Anchorage, AK 99508-4658
Phone (907) 777-1850

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
I20110223000531 AK Practitioner - Family PracticePractitioner - General Surgery 8022299163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Surgery
Education
University of Arkansas College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Arete Family Care LLCGroup PAC ID 0446653117, 11 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Suite 150
Eagle River, AK 99577-8078
Phone (907) 694-8085

3801 University Lake Dr
Suite 301
Anchorage, AK 99508-4642
Phone (907) 777-1850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3354AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Center for Pediatrics, LLC CurrentSince Oct 16, 2019 Accepting new patients
Arete Family Care LLC Family Medicine CurrentSince May 5, 2021 Accepting new patients

Locations

2741 Debarr Rd
Ste 307
Anchorage, AK 99508
Phone (907) 646-2230

2741 Debarr Rd
Ste C307
Anchorage, AK 99508
Phone (907) 646-8500

2925 Debarr Rd
Ste 230
Anchorage, AK 99508
Phone (907) 777-1800

3801 University Lake Dr
Ste 301
Anchorage, AK 99508
Phone (907) 777-1850

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24116/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/9493/brand/2/csg/1/fhir/r4
  • Direct secure messaging: timothy.coalwell.1@24116.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932271152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY LAKE DR STE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084658",
            "telephone_number": "907-777-1850",
            "fax_number": "907-561-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084103",
            "telephone_number": "907-279-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COALWELL",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.