Individual provider Active NPI

Robert Wendall Arnold, M.D.

  • Ophthalmology Physician
  • Anchorage, AK
National Provider Identifier
1942293428
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
AA2439 Issued in AK
Practice address
542 W 2ND Ave
Anchorage, AK 99501-2208
Phone
(907) 276-1617
Fax
(907) 264-2687
NPI assigned
Aug 30, 2005
Last updated
Oct 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X AA2439 AK Primary

Addresses

Primary practice location

542 W 2ND Ave
Anchorage, AK 99501-2208

Mailing address

3500 La Touche St Ste 280
Anchorage, AK 99508-4261
Phone (907) 561-1917

Other identifiers 1

IdentifierTypeStateIssuer
MD1250MedicaidAK

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
I20101209000675 AK Practitioner - Ophthalmology 5193814952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Childrens Eye and Strabismus LLCGroup PAC ID 8527299056, 3 clinicians

Practice addresses (Care Compare)

3500 Latouche St
Suite 280
Anchorage, AK 99508-4261
Phone (907) 561-1917

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AA2439AKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Associates a Professional Corporation Ophthalmology CurrentSince Aug 9, 1989 Accepting new patients
Alaska Native Tribal Health Consortium Current Accepting new patients
Alaska Childrens Eye and Strabismus LLC Ophthalmology CurrentSince Jan 1, 2014 Accepting new patients
Marvin John Grendahl MD a Professional Corp. Ophthalmology Past Accepting new patients

Locations

3500 Latouche St
Ste 280
Anchorage, AK 99508
Phone (907) 561-1917

542 W 2nd Ave
Anchorage, AK 99501
Phone (907) 276-1617

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_ACES
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rarnold@aces.intellechartdirect.net
  • Direct secure messaging: rwarnold@direct.anthc.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1942293428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LA TOUCHE ST STE 280",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084261",
            "telephone_number": "907-561-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 W 2ND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012208",
            "telephone_number": "907-276-1617",
            "fax_number": "907-264-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "ROBERT",
        "middle_name": "WENDALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AK",
            "license": "AA2439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1250",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.