NPIMap

Organization Active NPI

Alaska Heart Institute

  • Cardiovascular Disease Physician
  • Anchorage, AK
National Provider Identifier
1992744114
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
401602 Issued in AK
Legal business name
ALASKA HEART INSTITUTE
Practice address
3841 Piper Street
Suite T100
Anchorage, AK 99508
Phone
(907) 561-3211
Fax
(907) 562-7547
NPI assigned
Jun 5, 2006
Last updated
May 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Thomas K Kramer, MDNPI 1083635742
Title
President
Phone
(907) 561-3211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 401602 AK Primary

Addresses

Primary practice location

3841 Piper Street
Suite T100
Anchorage, AK 99508

Mailing address

PO Box 200149
Anchorage, AK 99520-0149
Phone (907) 561-3211

Other identifiers 2

IdentifierTypeStateIssuer
CI4058OtherAKRAILROAD MEDICARE
1020882MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031231000146 AK Part B Supplier - Clinic/Group Practice 2668371469 Receives reassigned benefits from 70 practitioners
Practice locations: Wasilla, AK; Soldotna, AK; Palmer, AK; Kodiak, AK; Fairbanks, AK; Anchorage, AK; Homer, AK

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D0939693Alaska Heart Institute LLC3841 Piper Street Suite T-100, Anchorage, AK 99508Certificate of waiverJan 28, 2028

National Provider Directory

National Provider Directory

Locations

2751 Debarr Rd
Ste 200
Anchorage, AK 99508
Phone (808) 276-3727

2751 Debarr Rd
Ste B200
Anchorage, AK 99508

3220 Providence Dr
#E3063
Anchorage, AK 99508

3220 Providence Dr
Ste E3063
Anchorage, AK 99508

3260 Providence Dr
Ste 526
Anchorage, AK 99508
Phone (907) 222-1714

3841 Piper St
Anchorage, AK 99508
Phone (907) 563-3103

3841 Piper St
Ste T100
Anchorage, AK 99508
Phone (907) 550-2233

240 Hospital Pl
#202
Soldotna, AK 99669

240 Hospital Pl
Ste 202
Soldotna, AK 99669

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 76

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1992744114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200149",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995200149",
            "telephone_number": "907-561-3211",
            "fax_number": "907-562-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER STREET",
            "address_2": "SUITE T100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-561-3211",
            "fax_number": "907-562-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA HEART INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-561-3211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AK",
            "license": "401602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI4058",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020882",
            "state": "AK"
        }
    ],
    "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 May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.