Active NPI
Daniel D Nyitrai, PA-C
- Medical Physician Assistant
- Soldotna, AK
National Provider Identifier
1962494781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- AK364
- Practice address
- 35670 Kenai Spur Hwy
Suite 103B
Soldotna, AK 99669-7626 - Phone
- (907) 262-4357
- Fax
- (907) 262-4390
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | AK364 | AK | Primary |
Addresses
Primary practice location
35670 Kenai Spur Hwy
Suite 103B
Soldotna, AK 99669-7626
Mailing address
35670 Kenai Spur Hwy
Suite 103B
Soldotna, AK 99669-7626
Phone (907) 262-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RH177FQ | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AK364 | AK | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watauga Orthopaedics PLC | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234224000000",
"number": "1962494781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35670 KENAI SPUR HWY",
"address_2": "SUITE 103B",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697626",
"telephone_number": "907-262-4357",
"fax_number": "907-262-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35670 KENAI SPUR HWY",
"address_2": "SUITE 103B",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697626",
"telephone_number": "907-262-4357",
"fax_number": "907-262-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYITRAI",
"first_name": "DANIEL",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2009-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AK",
"license": "AK364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RH177FQ",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.