Active NPI
Matthew Kluckman, M.D.
- Diagnostic Radiology Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 204160
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Alaska Imaging Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Titus County Hospital District | 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 Corportion | Current | Accepting new patients | |
| Cordova Community Medical Center | 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 | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Anchorage Imaging Center LLC | Diagnostic Radiology | 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 | |
| Titus County Hospital District | 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 | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| McKinley Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Valley Upright Imaging LLC | Diagnostic Radiology | 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 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
- 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.
-
dba Northern Lights Imaging
- Diagnostic Radiology Physician
- Anchorage, AK
- NPI 1063466688
-
dba Titus Regional Medical Center
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
-
- Critical Access Hospital
- Cordova, AK
- NPI 1215035787
-
- Radiology Clinic/Center
- Anchorage, AK
- NPI 1417615543
Diagnostic Radiology
-
- Clinic/Center
- Koliganek, AK
- NPI 1013079607
-
- Clinic/Center
- Ekwok, AK
- NPI 1104988799
-
- Clinic/Center
- Pilot Point, AK
- NPI 1174683825
-
- Clinic/Center
- Platinum, AK
- NPI 1285796870
-
- Clinic/Center
- Levelock, AK
- NPI 1366502767
-
- Clinic/Center
- South Naknek, AK
- NPI 1417018193
-
- Clinic/Center
- Twin Hills, AK
- NPI 1487716825
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Juneau, AK
- NPI 1891849261
-
dba Alaska Regional Hospital
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
-
dba Mat-Su Regional Medical Center
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
-
dba Titus Regional Medical Center
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
Hospital
-
dba Titus Regional Medical Center
- General Acute Care Hospital
- Mount Pleasant, TX
- NPI 1174526529
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.