Individual provider Active NPI

Matthew Kluckman, M.D.

  • Diagnostic Radiology Physician
  • Anchorage, AK
National Provider Identifier
1992242028
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
204160 Issued in AK
Practice address
5955 Zeamer Ave
Anchorage, AK 99506-3702
Phone
(907) 580-6767
Fax
(907) 580-6746
NPI assigned
Jan 26, 2017
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R9235 TX
Diagnostic Radiology Physician 2085R0202X 204160 AK Primary

Addresses

Primary practice location

5955 Zeamer Ave
Anchorage, AK 99506-3702

Mailing address

5955 Zeamer Ave
Anchorage, AK 99506-3702
Phone (907) 580-6767

Other practice location 1

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 434-8044

Other practice location 2

2751 DeBarr Rd Ste 360
Anchorage, AK 99508-6809
Phone (907) 792-7920

Other practice location 3

3765 E Blue Lupine Dr Ste B
Wasilla, AK 99654-8417
Phone (907) 373-3700

Other practice location 4

3745 Geist Rd
Fairbanks, AK 99709-3554
Phone (907) 373-3700

Other practice location 5

2110 E Northern Lights Blvd Ste 101
Anchorage, AK 99508-4154
Phone (907) 373-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231228000644 TX Practitioner - Diagnostic Radiology 0749630176 Reassigns benefits to 2 organizations
I20240521003395 AK Practitioner - Diagnostic Radiology 0749630176 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Titus County Hospital DistrictGroup PAC ID 0143203257, 107 clinicians
Alaska Imaging Associates LLCGroup PAC ID 5294633590, 27 clinicians

Practice addresses (Care Compare)

2001 N Jefferson Ave
Mt Pleasant, TX 75455-2338
Phone (903) 577-6000

2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 276-1131

6000 Kanakanak Rd
Dillingham, AK 99576-0130
Phone (907) 842-5201

P O Box
Dillingham, AK 99576-0130

PO Box
Suite 130
Dillingham, AK 99576-0130
Phone (907) 842-5201

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Alaska Imaging Associates, LLC Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Titus County Hospital District CurrentSince Apr 1, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion CurrentSince Dec 20, 2023 Accepting new patients
Cordova Community Medical Center CurrentSince Jun 22, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Anchorage Imaging Center LLC Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Titus County Hospital District CurrentSince Apr 1, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Dec 20, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
McKinley Imaging, LLC Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Valley Upright Imaging LLC Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients

Locations

2110 E Northern Lights Blvd
Anchorage, AK 99508
Phone (907) 644-2997

2110 E Northern Lights Blvd
Ste 101
Anchorage, AK 99508
Phone (907) 336-2273

2751 Debarr Rd
Ste 360
Anchorage, AK 99508
Phone (907) 336-3500

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

2925 Debarr Rd
Ste 300
Anchorage, AK 99508
Phone (907) 279-3155

4001 Laurel St
Ste 204
Anchorage, AK 99508
Phone (907) 561-1426

3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112

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

2480 S Woodworth Loop
Ste 120
Palmer, AK 99645

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

3765 E Blue Lupine Dr
Wasilla, AK 99654
Phone (907) 373-9462

3765 E Blue Lupine Dr
Ste B
Wasilla, AK 99654

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cordova-527880fe

Organizations & group practices 27

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 27

Hospital & facility affiliations 5

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": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1992242028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-6767",
            "fax_number": "907-580-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-6767",
            "fax_number": "907-580-6746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "TX",
            "postal_code": "754552338",
            "country_code": "US",
            "telephone_number": "903-434-8044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2751 DeBarr Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995086809",
            "country_code": "US",
            "telephone_number": "907-792-7920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3765 E Blue Lupine Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996548417",
            "country_code": "US",
            "telephone_number": "907-373-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3745 Geist Rd",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997093554",
            "country_code": "US",
            "telephone_number": "907-373-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 E Northern Lights Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084154",
            "country_code": "US",
            "telephone_number": "907-373-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLUCKMAN",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-26",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R9235",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "204160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.