ANCHORAGE BARIATRICS, LLC
NPI 1174076822
Surgery in Anchorage, AK

Active since July 29, 2016
3909 ARCTIC BLVD, SUITE 101, ANCHORAGE, AK 99503(907) 644-8446(907) 644-8448 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2024, Jul 6, 2021 (2 updates tracked since 2021).

About Anchorage Bariatrics, Llc NPPES

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

ANCHORAGE BARIATRICS, LLC (NPI 1174076822) is a healthcare organization registered as a surgery in Anchorage, Alaska and active in the NPI registry since July 2016. The organization lists Justin Clark, Physician, as its authorized official.

NPPES Registry Identity

NPI1174076822
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameANCHORAGE BARIATRICS, LLC
Location Address3909 ARCTIC BLVD, SUITE 101Anchorage, AK 99503-5770
Mailing AddressPo Box 75039Chicago, IL 60675-5039 · (866) 776-8150 · Fax (314) 621-7276
Fax(907) 644-8448
Organization SubpartNo
Authorized OfficialJustin ClarkPhysician · (907) 644-8446
Enumeration DateJuly 29, 2016
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1174076822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AK · 1033013
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
3909 ARCTIC BLVD, Anchorage, AK 99503

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Anchorage Bariatrics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Anchorage Bariatrics, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Clinical Psychologist4
Registered Dietitian or Nutrition Professional4
General Surgery3
Family Practice2
Nurse Practitioner2
Clinical Social Worker1

Clinicians, nearest first (16)

Nurse Practitioner
NPI 1710200985
3909 ARCTIC BLVD STE 104
Anchorage, AK 99503
(907) 352-2905
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1427541192
3909 ARCTIC BLVD STE 101
Anchorage, AK 99503
(907) 205-4157
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1174252779
3909 ARCTIC BLVD STE 101
Anchorage, AK 99503
(907) 644-8446
✔ Accepts MedicareSame address
General Surgery
NPI 1295901312
3909 ARCTIC BLVD STE 101
Anchorage, AK 99503
(907) 644-8446
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1134368111
3909 ARCTIC BLVD SUITE 101
Anchorage, AK 99503
(907) 644-8446
✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1366759003
3760 PIPER ST STE 1108
Anchorage, AK 99508
(907) 212-6900
✔ PECOS✔ Accepts Medicare2.4 mi
Family Practice
NPI 1659345171
4001 DALE ST STE 210
Anchorage, AK 99508
(907) 929-5888
✔ PECOS✔ Accepts Medicare2.7 mi
Clinical Psychologist
NPI 1235570979
1100 E DIMOND BLVD
Anchorage, AK 99515
(907) 565-6000
✔ PECOS✔ Accepts Medicare3.1 mi
Registered Dietitian or Nutrition Professional
NPI 1568637536
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
✔ Accepts Medicare3.2 mi
Clinical Social Worker
NPI 1235575762
4031 SAN ERNESTO AVE APT 4
Anchorage, AK 99508
(385) 309-3999
✔ PECOS✔ Accepts Medicare3.6 mi
Clinical Psychologist
NPI 1154068666
8717 DIMOND D CIR
Anchorage, AK 99515
(907) 771-0536
✔ PECOS✔ Accepts Medicare4.8 mi
General Surgery
NPI 1215132410
5955 ZEAMER AVE
Jber, AK 99506
(907) 580-1243
✔ PECOS✔ Accepts Medicare6.0 mi
Registered Dietitian or Nutrition Professional
NPI 1518579473
7646 W TIA TERRACE DR
Wasilla, AK 99623
(530) 545-8622
✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1063955482
30881 EKLUTNA LAKE RD
Chugiak, AK 99567
(907) 793-3600
✔ PECOS27 mi
Family Practice
NPI 1699780114
950 E BOGARD RD STE 233
Wasilla, AK 99654
(907) 352-1300
✔ PECOS✔ Accepts Medicare32 mi
Clinical Psychologist
NPI 1992859003
22020 CLARENDON ST #208
Woodland Hills, CA 91367
(818) 332-2287
✔ PECOS✔ Accepts Medicare2,324 mi

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

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 Anchorage Bariatrics, LLC's NPI number?

The NPI number for Anchorage Bariatrics, LLC is 1174076822. It was assigned to this organization in the NPPES registry on July 29, 2016.

Where is Anchorage Bariatrics, LLC located?

Anchorage Bariatrics, LLC is located at 3909 Arctic Blvd Suite 101, Anchorage, AK 99503. The listed phone number is (907) 644-8446.

What is Anchorage Bariatrics, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Anchorage Bariatrics, LLC enrolled in Medicare?

Yes. Anchorage Bariatrics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anchorage Bariatrics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 6 Medicare specialties reassign their Medicare billing to Anchorage Bariatrics, LLC. 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 Clinical Psychologist (4), Registered Dietitian or Nutrition Professional (4) and General Surgery (3). Of these, 5 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Anchorage Bariatrics, LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Anchorage Bariatrics, LLC 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 Anchorage Bariatrics, LLC was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.