Individual provider Active NPI

Jonathan Benaknin, DO

  • Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1992987655
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
140420 Issued in AK
Practice address
Anchorage Native Primary Care Center
4320 Diplomacy Drive
Anchorage, AK 99508-1794
Phone
(907) 729-5253
NPI assigned
Dec 4, 2007
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 140420 AK Primary

Addresses

Primary practice location

Anchorage Native Primary Care Center
4320 Diplomacy Drive
Anchorage, AK 99508-1794

Mailing address

Anchorage Native Primary Care Center
4320 Diplomacy Drive
Anchorage, AK 99508-1794
Phone (907) 729-5253

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
I20191121000726 TX Practitioner - Psychiatry 0143493106 Reassigns benefits to 2 organizations
I20230420001574 AK Practitioner - Psychiatry 0143493106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcentral FoundationGroup PAC ID 5496663627, 168 clinicians

Practice addresses (Care Compare)

4175 Tudor Centre Dr
Suite 200
Anchorage, AK 99508-5917
Phone (907) 729-6799

4320 Diplomacy Dr
Anchorage, AK 99508-5925
Phone (907) 729-2583

Merit-based Incentive Payment System (MIPS)

Final score
91.77 of 100Reported as group
Quality
76.11
Promoting interoperability
100
Improvement activities
40
Cost
79.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington Psychiatry CurrentSince Apr 15, 2023 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Oct 1, 2019 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation CurrentSince Oct 1, 2019 Accepting new patients
Southcentral Foundation Past Accepting new patients
Southcentral Foundation Past Accepting new patients

Locations

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

3760 Piper St
Ste 1108A
Anchorage, AK 99508
Phone (907) 212-6900

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

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

Interoperability endpoints

  • Direct secure messaging: jbenaknin@direct.scf.cc

Organizations & group practices 6

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": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1992987655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ANCHORAGE NATIVE PRIMARY CARE CENTER",
            "address_2": "4320 DIPLOMACY DRIVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081794",
            "telephone_number": "907-729-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANCHORAGE NATIVE PRIMARY CARE CENTER",
            "address_2": "4320 DIPLOMACY DRIVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081794",
            "telephone_number": "907-729-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAKNIN",
        "first_name": "JONATHAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "140420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.