CENTRAL PENINSULA GASTROENTEROLOGY
NPI 1154194819
Internal Medicine - Gastroenterology in Soldotna, AK

Active since November 03, 2023CLIA 02D2085378 · Waiver
240 HOSPITAL PL, SOLDOTNA, AK 99669(907) 714-6120(907) 416-7683 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Central Peninsula Gastroenterology NPPES

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

CENTRAL PENINSULA GASTROENTEROLOGY (NPI 1154194819) is a healthcare organization registered as a gastroenterology in Soldotna, Alaska and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Michael Jon Haggerty, Cfo, as its authorized official.

NPPES Registry Identity

NPI1154194819
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCENTRAL PENINSULA GENERAL HOSPITAL, INC
Location Address240 HOSPITAL PLSoldotna, AK 99669-7559
Mailing Address250 Hospital PlSoldotna, AK 99669-7559 · (907) 714-6120 · Fax (907) 416-7683
Fax(907) 416-7683
Organization SubpartYes
Authorized OfficialMichael Jon HaggertyCfo · (907) 714-4722
Enumeration DateNovember 3, 2023
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1154194819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
240 HOSPITAL PL, Soldotna, AK 99669

Other Names 1

Doing Business AsCentral Peninsula Gastroenterology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Peninsula Gastroenterology 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 Central Peninsula Gastroenterology, which bills Medicare for the services they deliver. Of these, 55 practice at this address and 89 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
Orthopedic Surgery
NPI 1306285630
240 HOSPITAL PL STE 104
Soldotna, AK 99669
(907) 714-5770
✔ PECOSSame address
Orthopedic Surgery
NPI 1740270792
240 HOSPITAL PL STE 104
Soldotna, AK 99669
(907) 714-5770
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1033102546
240 HOSPITAL PL STE 105
Soldotna, AK 99669
(907) 714-4090
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1326301870
240 HOSPITAL PL STE 103
Soldotna, AK 99669
(907) 714-5312
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1700823705
240 HOSPITAL PL
Soldotna, AK 99669
(907) 714-5611
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841705860
240 HOSPITAL PL STE 103B
Soldotna, AK 99669
(907) 714-6120
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1972715282
240 HOSPITAL PL STE 305
Soldotna, AK 99669
(907) 714-4130
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1255438727
240 HOSPITAL PL STE 103B
Soldotna, AK 99669
(907) 714-6120
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1710991229
240 HOSPITAL PL STE 305
Soldotna, AK 99669
(907) 714-4130
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1568923845
240 HOSPITAL PL STE 103
Soldotna, AK 99669
(907) 714-5312
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1811010630
240 HOSPITAL PL STE 305
Soldotna, AK 99669
(907) 714-4130
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881162303
240 HOSPITAL PL STE 305
Soldotna, AK 99669
(907) 714-4130
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1194353797
240 HOSPITAL PL STE 105
Soldotna, AK 99669
(907) 714-4090
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1194827998
240 HOSPITAL PL STE 204B
Soldotna, AK 99669
(907) 714-4120
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1700866126
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4444
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1588855803
250 HOSPITAL PLACE CENTRAL PENINSULA HOSPITAL
Soldotna, AK 99669
(530) 208-8388
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1013379700
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4529
✔ Accepts MedicareSame address
Anesthesiology
NPI 1992787360
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4529
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1821086927
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-5325
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1114248879
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4529
✔ PECOS✔ Accepts MedicareSame address
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 Waiver 02D2085378

Central Peninsula Urology · Soldotna, AK
Active · expires Aug 27, 2027
CLIA Number02D2085378
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorHeather Hawkins
Laboratory Phone(907) 714-4622
Laboratory LocationCentral Peninsula Urology240 Hospital Place, Sutie 303A, Soldotna, AK 99669
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 1154194819. It was assigned to this organization in the NPPES registry on November 3, 2023. The provider is doing business as Central Peninsula Gastroenterology.

Where is Central Peninsula General Hospital, Inc located?

Central Peninsula General Hospital, Inc is located at 240 Hospital Pl, Soldotna, AK 99669. The listed phone number is (907) 714-6120.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

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, 55 practice at this address and 89 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 Waiver (number 02D2085378) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Peninsula General Hospital, Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Central Peninsula General Hospital, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Peninsula General Hospital, Inc was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.