ALASKA INTERNAL MEDICINE & PEDIATRICS LLC
NPI 1366580912
Specialist in Anchorage, AK
NPI Status: Active since February 02, 2007
Contact Information
4048 LAUREL ST STE 306
ANCHORAGE, AK
ZIP 99508
Phone: (907) 770-7800
Fax: (907) 929-4660
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 02D0687680
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About ALASKA INTERNAL MEDICINE & PEDIATRICS LLC
This page provides the complete NPI Profile along with additional information for Alaska Internal Medicine & Pediatrics Llc, a provider established in Anchorage, Alaska operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1366580912 assigned on February 2007. The practitioner's primary taxonomy code is 174400000X with license number 2342 (AK). The provider is registered as an organization and their NPI record was last updated 18 years ago. Alaska Internal Medicine & Pediatrics Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Michele L O'fallon M.d. (Owner)
- NPI
- 1366580912
- Provider Name
- ALASKA INTERNAL MEDICINE & PEDIATRICS LLC
- Entity Type
- Organization
- Location Address
- 4048 LAUREL ST STE 306 ANCHORAGE, AK 99508
- Location Phone
- (907) 770-7800
- Location Fax
- (907) 929-4660
- Mailing Address
- 4048 LAUREL ST STE 306 ANCHORAGE, AK 99508
- Mailing Phone
- (907) 770-7800
- Mailing Fax
- (907) 929-4660
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-02-2007
- Last Update Date
- 06-26-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 2342
- License State
- AK
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | AA3566 (AK) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Bronze HDHP 7500 - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G06741 | MEDICARE UPIN (02) | AK | |
| MD2282 | MEDICAID (05) | AK | |
| MD7864 | MEDICAID (05) | AK | |
| 1710958061 | OTHER (01) | AK | MONTANO (NPI) |
| H63242 | MEDICARE UPIN (02) | AK | |
| K152146 | MEDICARE ID-TYPE UNSPECIFIED (04) | AK | O'FALLON MD, MICHELE |
| K152147 | MEDICARE ID-TYPE UNSPECIFIED (04) | AK | AK INTERNAL MEDICINE & PE |
| 1902877251 | OTHER (01) | AK | O'FALLON (NPI) |
| K152174 | MEDICARE ID-TYPE UNSPECIFIED (04) | AK | MONTANO MD, LAURIE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 02D0687680
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- MICHELE D. O'FALLON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Alaska Internal Medicine & Pediatrics Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366580912, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366580912, enumerated as an "organization" on February 02, 2007.
The provider is located at 4048 LAUREL ST STE 306 ANCHORAGE, AK 99508 and the phone number is (907) 770-7800.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Moda Health Plan, Inc., Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
