Individual provider Active NPI

Alice L McCauley, MD

  • Internal Medicine Physician
  • Utqiagvik, AK
National Provider Identifier
1982861712
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MEDS7353 Issued in AK
Practice address
7000 Uula St
Utqiagvik, AK 99723
Phone
(907) 825-9211
Fax
(907) 825-6222
NPI assigned
May 20, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Internal Medicine Physician 207R00000X MEDS7353 AK Primary

Addresses

Primary practice location

7000 Uula St
Utqiagvik, AK 99723

Mailing address

PO Box 2388
Seward, AK 99664-2388
Phone (509) 220-4555

Other identifiers 1

IdentifierTypeStateIssuer
MEDS7353OtherAKMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120301000342 TX Practitioner - Internal Medicine 5395897417 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MEDS7353AKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Slope Native Association LTD Current Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jan 4, 2012 Accepting new patients
Inland Empire Hospital Services Association Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

Organizations & group practices 3

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982861712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2388",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996642388",
            "telephone_number": "509-220-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 UULA ST",
            "city": "UTQIAGVIK",
            "state": "AK",
            "postal_code": "99723",
            "telephone_number": "907-825-9211",
            "fax_number": "907-825-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "ALICE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2023-03-07",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "MEDS7353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MEDS7353",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utqiagvik, AK

Sources for this page

Verify at the official NPI Registry.