Unknown Individual – Nephrology Physician, NPI 1427272970

Unknown Individual is a healthcare provider. based in Anchorage, Alaska. specializing in Nephrology Physician. They hold a License No. OHIO STATE MED CTR (OH). The NPI Number for Unknown Individual is 1427272970

Main info

Organization
Inactive
20 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427272970
Phone
(907) 375-5200
Address
4015 LAKE OTIS PKWY
Deactivation Date
3 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9075622712
Graduation Year
2006 (20 years ago)
PAC ID
0648440248
Group Practice PAC ID
0840299186
Professional Enrollment ID
I20110908001828
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4015 LAKE OTIS PKWY

    SUITE 101

    ANCHORAGE, AK 995085211

    Phone: (907) 375-5200

    Fax: (907) 375-5201

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99508)

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Provider's Procedures

Unknown Individual performs procedures in Nephrology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYAK90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older17944
NEPHROLOGYAK90966Home dialysis services per month, patient 20 years of age or older6011

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840299186View full group profile
NameSpecialtyState
Nurse PractitionerAK
Nephrology, Internal MedicineAK
Physician AssistantTX
N E P H R O L O G YAK
N E P H R O L O G YAK
Nurse PractitionerAK
-NY
N E P H R O L O G YLA
Nurse PractitionerAK
N E P H R O L O G YAK

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1427272970 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Anchorage?
Public fields place Unknown Individual around Anchorage, Alaska. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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