KENAI MEDICAL CENTER - CPH
NPI 1003299108
Family Medicine in Kenai, AK

Active since July 07, 2015CLIA 02D0066328 · Accreditation
805 FRONTAGE RD, SUITE 123, KENAI, AK 99611(907) 283-4611(907) 283-3992 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kenai Medical Center - Cph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENAI MEDICAL CENTER - CPH (NPI 1003299108) is a healthcare organization registered as a family medicine in Kenai, Alaska and active in the NPI registry since July 2015. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Richard Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003299108
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRAL PENINSULA GENERAL HOSPITAL, INC
Location Address805 FRONTAGE RD, SUITE 123Kenai, AK 99611-9104
Mailing Address250 Hospital PlSoldotna, AK 99669-7559 · (907) 714-4404 · Fax (907) 714-4696
Fax(907) 283-3992
Organization SubpartNo
Authorized OfficialRichard DavisCeo · (907) 714-4723
Enumeration DateJuly 7, 2015
✔ NPI 1003299108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral Acute Care Hospital · RuralTaxonomy 282NR1301X · License GACH-003 (AK)
805 FRONTAGE RD, Kenai, AK 99611

Other Names 1

Doing Business AsKenai Medical Center - Cph

Other Identifiers 2

Medicare OSCAR/certificationK0000ZBBBZAK
Medicare OSCAR/certification020024AK

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenai Medical Center - Cph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

129

Medicare enrollment records show 129 clinicians reassign Medicare billing to Kenai Medical Center - Cph, which bills Medicare for the services they deliver. Of these, 88 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 25

Emergency Medicine20
Nurse Practitioner20
Certified Registered Nurse Anesthetist (CRNA)10
Internal Medicine10
Orthopedic Surgery10
Neurology8
Family Practice7
Anesthesiology6
17 other specialties38

Nearest to this location (20)

See all 129
Nurse Practitioner
NPI 1013902758
506 LAKE ST
Kenai, AK 99611
(907) 714-4025
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1003495961
506 LAKE ST
Kenai, AK 99611
(907) 714-4111
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1972064145
506 LAKE ST
Kenai, AK 99611
(907) 714-4025
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1407744949
506 LAKE ST
Kenai, AK 99611
(907) 714-4404
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1225048648
506 LAKE ST
Kenai, AK 99611
(907) 714-4111
✔ PECOS0.3 mi
Family Practice
NPI 1043771207
506 LAKE ST
Kenai, AK 99611
(907) 714-4025
✔ PECOS✔ Accepts Medicare0.3 mi
Psychiatry
NPI 1942882774
291 N FIREWEED ST
Soldotna, AK 99669
(907) 714-5950
✔ PECOS✔ Accepts Medicare7.3 mi
Clinical Psychologist
NPI 1861221202
291 N FIREWEED ST
Soldotna, AK 99669
(907) 714-5950
✔ PECOS✔ Accepts Medicare7.3 mi
Dermatology
NPI 1255693578
35743 KENAI SPUR HWY STE A
Soldotna, AK 99669
(907) 260-4468
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1457837486
247 N FIREWEED ST
Soldotna, AK 99669
(907) 714-5730
✔ PECOS✔ Accepts Medicare7.4 mi
Internal Medicine
NPI 1003120502
247 N FIREWEED ST STE A
Soldotna, AK 99669
(907) 262-8597
✔ PECOS✔ Accepts Medicare7.4 mi
Emergency Medicine
NPI 1700866126
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4444
✔ PECOS✔ Accepts Medicare7.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1013379700
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4529
✔ Accepts Medicare7.5 mi
Anesthesiology
NPI 1992787360
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4529
✔ PECOS✔ Accepts Medicare7.5 mi
Urology
NPI 1821086927
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-5325
✔ PECOS✔ Accepts Medicare7.5 mi
Pathology
NPI 1114248879
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4529
✔ PECOS✔ Accepts Medicare7.5 mi
Orthopedic Surgery
NPI 1982135539
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4404
✔ PECOS✔ Accepts Medicare7.5 mi
Neurology
NPI 1033102546
240 HOSPITAL PL STE 105
Soldotna, AK 99669
(907) 714-4090
✔ PECOS✔ Accepts Medicare7.5 mi
Podiatry
NPI 1326301870
240 HOSPITAL PL STE 103
Soldotna, AK 99669
(907) 714-5312
✔ PECOS✔ Accepts Medicare7.5 mi
Hematology/Oncology
NPI 1700823705
240 HOSPITAL PL
Soldotna, AK 99669
(907) 714-5611
✔ PECOS✔ Accepts Medicare7.5 mi
See all 129 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 02D0066328

Central Peninsula General Hospital · Soldotna, AK
Active · expires Jan 2, 2027
CLIA Number02D0066328
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Michael Clarke
Laboratory Phone(907) 262-4404
Laboratory LocationCentral Peninsula General Hospital250 Hospital Place, Soldotna, AK 99669
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Peninsula General Hospital, Inc's NPI number?

The NPI number for Central Peninsula General Hospital, Inc is 1003299108. It was assigned to this organization in the NPPES registry on July 7, 2015. The provider is doing business as Kenai Medical Center - Cph.

Where is Central Peninsula General Hospital, Inc located?

Central Peninsula General Hospital, Inc is located at 805 Frontage Rd Suite 123, Kenai, AK 99611. The listed phone number is (907) 283-4611.

What is Central Peninsula General Hospital, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Central Peninsula General Hospital, Inc enrolled in Medicare?

Yes. Central Peninsula General Hospital, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Peninsula General Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 129 clinicians in 25 Medicare specialties reassign their Medicare billing to Central Peninsula General Hospital, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (20), Nurse Practitioner (20) and Certified Registered Nurse Anesthetist (CRNA) (10). Of these, 88 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Central Peninsula General Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 02D0066328) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Peninsula General Hospital, Inc was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.