NPIMap

Individual provider Active NPI

Richard Thomas Combs, PA-C

  • Physician Assistant
  • Tok, AK
National Provider Identifier
1972984037
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2417 Issued in AK
Practice address
MP 123 Glenn Hwy
Tok, AK 99780
Phone
(907) 883-5855
NPI assigned
Jun 15, 2015
Last updated
Apr 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2417 AK Primary

Addresses

Primary practice location

MP 123 Glenn Hwy
Tok, AK 99780

Mailing address

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 729-1973

Other practice location 1

10128 Kenai Spur Hwy
Kenai, AK 99611-7807
Phone (907) 714-5740

Other identifiers 3

IdentifierTypeStateIssuer
2417OtherAKPHYSICIAN ASSISTANT-ALASKA MEDICAL BORAD
1121583OtherAKSTATE LICENSE
1630518MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rcombs3766102@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK, AZ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150728004744 TX Practitioner - Physician Assistant 3870807365 Reassigns benefits to 2 organizations
I20160310002399 AK Practitioner - Physician Assistant 3870807365 Reassigns benefits to 3 organizations
I20170919002544 AZ Practitioner - Physician Assistant 3870807365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanana Chiefs ConferenceGroup PAC ID 9537050109, 148 clinicians

Practice addresses (Care Compare)

10128 Kenai Spur Hwy
Kenai, AK 99611-7807
Phone (907) 714-5740

240 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 714-4090

250 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 714-4515

77 Antoski Ave
Galena, AK 99741
Phone (907) 656-1366

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6739AZMDPhysical Therapist
2417AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tok Clinic, LLC Current Accepting new patients
North Star Medical Imaging PLLC Current Accepting new patients
Central Peninsula General Hospital, Inc CurrentSince May 1, 2025 Accepting new patients
Bisbee Hospital Association CurrentSince Nov 1, 2022 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince May 24, 2022 Accepting new patients
Bisbee Hospital Association CurrentSince Nov 1, 2022 Accepting new patients
Bisbee Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince May 24, 2022 Accepting new patients
Central Peninsula General Hospital Inc Physician Assistant CurrentSince May 1, 2025 Accepting new patients
Tanana Chiefs Conference CurrentSince Apr 29, 2021 Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

10128 Kenai Spur Hwy
Kenai, AK 99611
Phone (907) 714-5740

260 Caviar St
#100
Kenai, AK 99611
Phone (907) 283-5458

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

289 N Fireweed St
Ste B
Soldotna, AK 99669
Phone (907) 420-3540

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

Interoperability endpoints

  • Direct secure messaging: rcombs@direct-searhc.org
  • Direct secure messaging: rcombs3766102@ak.providencedirect.org
  • Direct secure messaging: richard.combs.1@15989.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1972984037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 DIPLOMACY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085926",
            "telephone_number": "907-729-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MP 123 GLENN HWY",
            "city": "TOK",
            "state": "AK",
            "postal_code": "99780",
            "telephone_number": "907-883-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10128 Kenai Spur Hwy",
            "address_purpose": "LOCATION",
            "city": "Kenai",
            "state": "AK",
            "postal_code": "996117807",
            "country_code": "US",
            "telephone_number": "907-714-5740",
            "fax_number": "907-714-5240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMBS",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "2417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT-ALASKA MEDICAL BORAD",
            "identifier": "2417",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1121583",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1630518",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcombs3766102@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "Provider Direct messaging address",
            "address_1": "10128 Kenai Spur Hwy",
            "city": "Kenai",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996117807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tok, AK

Sources for this page

Verify at the official NPI Registry.