NPIMap

Individual provider Active NPI

Robert A Lada, MD

  • Neurology Physician
  • Anchorage, AK
National Provider Identifier
1982667101
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4939 Issued in AK
Practice address
3200 Providence Dr
Suite 248
Anchorage, AK 99508-4615
Phone
(907) 261-3650
NPI assigned
Apr 10, 2006
Last updated
Apr 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4939 AK Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 6495 AK

Addresses

Primary practice location

3200 Providence Dr
Suite 248
Anchorage, AK 99508-4615

Mailing address

PO Box 110977
Anchorage, AK 99511-0977
Phone (907) 565-6000

Other identifiers 8

IdentifierTypeStateIssuer
MD0495MedicaidAK
000000127231OtherOHANTHEM BLUECROSS/BLUESHEI
140005608OtherOHRAILROAD MEDICARE
341097565QOtherOHSUMMACARE
729002OtherOHBUCKEYE COMMUNITY HEALTH
100285OtherOHKAISER
2060022MedicaidOH
90128OtherOHQUALCHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20081016000433 AK Practitioner - NeurologyPractitioner - Sleep Medicine 4385606177 Reassigns benefits to 10 organizations
I20180919000575 CA Practitioner - Neurology 4385606177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians
Peak Neurology and Sleep Medicine, LLCGroup PAC ID 6901024017, 9 clinicians

Practice addresses (Care Compare)

Anchorage, AK 99516

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

12001 Lilac Dr
Anchorage, AK 99516-2260

2741 Debarr Rd
Anchorage, AK 99508-2972
Phone 90733136407575

4101 Torrance Blvd
Torrance, CA 90503-4607
Phone (310) 303-7496

910 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9100

920 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4939AKMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Jul 15, 2018 Accepting new patients
Swedish Health Services CurrentSince Oct 14, 2023 Accepting new patients
Neurology and Neuroscience Associates, Inc. Neurology Past Accepting new patients
Alaska Sleep Disorder Center LLC Neurology PastSince Apr 7, 2012 Accepting new patients
Neurology and Neuroscience Associates Inc Neurology Past Accepting new patients

Locations

3300 Providence Dr
Ste B208
Anchorage, AK 99508
Phone (206) 386-3660

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

Interoperability endpoints

  • Direct secure messaging: robert.lada.1@10055.direct.athenahealth.com
  • Direct secure messaging: robert.lada.1@14977.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 2

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1982667101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110977",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995110977",
            "telephone_number": "907-565-6000",
            "fax_number": "866-977-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PROVIDENCE DR",
            "address_2": "SUITE 248",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084615",
            "telephone_number": "907-261-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADA",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AK",
            "license": "4939",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "AK",
            "license": "6495",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD0495",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSS/BLUESHEI",
            "identifier": "000000127231",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140005608",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "341097565Q",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HEALTH",
            "identifier": "729002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "100285",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2060022",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "90128",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.