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ALASKA INTERNAL MEDICINE & PEDIATRICS LLC
NPI 1366580912
Specialist in Anchorage, AK

Active since February 02, 2007CLIA 02D0687680 · Waiver
4048 LAUREL ST STE 306, ANCHORAGE, AK 99508(907) 770-7800(907) 929-4660 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alaska Internal Medicine & Pediatrics Llc NPPES

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

ALASKA INTERNAL MEDICINE & PEDIATRICS LLC (NPI 1366580912) is a healthcare organization registered as a specialist in Anchorage, Alaska and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Michele L O'fallon, Owner, as its authorized official.

NPPES Registry Identity

NPI1366580912
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALASKA INTERNAL MEDICINE & PEDIATRICS LLC
Location Address4048 LAUREL ST STE 306Anchorage, AK 99508-5391
Mailing Address4048 Laurel St Ste 306Anchorage, AK 99508-5391 · (907) 770-7800 · Fax (907) 929-4660
Phone(907) 770-7800
Fax(907) 929-4660
Organization SubpartNo
Authorized OfficialMichele L O'fallonOwner · (907) 770-7800
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJune 26, 2008
✔ NPI 1366580912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in AK · 2342✔ Licensed in AK · AA3566
Definition
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.
4048 LAUREL ST STE 306, Anchorage, AK 99508
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Other Identifiers 9

Medicare UPING06741AK
MedicaidMD2282AK
MedicaidMD7864AK
Other1710958061AK · Montano (npi)
Medicare UPINH63242AK
Medicare ID-Type UnspecifiedK152146AK · O'fallon Md, Michele
Medicare ID-Type UnspecifiedK152147AK · Ak Internal Medicine & Pe
Other1902877251AK · O'fallon (npi)
Medicare ID-Type UnspecifiedK152174AK · Montano Md, Laurie

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

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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)

Alaska Internal Medicine & Pediatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Alaska Internal Medicine & Pediatrics LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Laurie Montano, M.D.
Internal Medicine
NPI 1710958061
4048 LAUREL ST
Anchorage, AK 99508
(907) 770-7800
✔ PECOS✔ Accepts MedicareSame address
Michele Ofallon, M.D.
Internal Medicine
NPI 1902877251
4048 LAUREL ST
Anchorage, AK 99508
(907) 770-7800
✔ PECOS✔ Accepts MedicareSame address
Summer Engler Jager, MD
Rheumatology
NPI 1871852319
4048 LAUREL ST
Anchorage, AK 99508
(907) 770-7800
✔ PECOS✔ Accepts MedicareSame address
Rachael Carricaburu, MD
Internal Medicine
NPI 1912181066
4951 BUSINESS PARK BLVD
Anchorage, AK 99503
(907) 743-7200
✔ PECOS✔ Accepts Medicare1.9 mi

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 02D0687680

Alaska Internal Medicine & Pediatrics · Anchorage, AK
Active · expires Aug 31, 2028
CLIA Number02D0687680
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorMichele D. O'fallon
Laboratory Phone(907) 770-7800
Laboratory LocationAlaska Internal Medicine & Pediatrics4048 Laurel Street Suite 306, Anchorage, AK 99508
CLIA data matches this NPI record on: Address Name Phone
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 Alaska Internal Medicine & Pediatrics LLC's NPI number?

The NPI number for Alaska Internal Medicine & Pediatrics LLC is 1366580912. It was assigned to this organization in the NPPES registry on February 2, 2007.

Where is Alaska Internal Medicine & Pediatrics LLC located?

Alaska Internal Medicine & Pediatrics LLC is located at 4048 Laurel St Ste 306, Anchorage, AK 99508. The listed phone number is (907) 770-7800.

What is Alaska Internal Medicine & Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Alaska Internal Medicine & Pediatrics LLC enrolled in Medicare?

Yes. Alaska Internal Medicine & Pediatrics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alaska Internal Medicine & Pediatrics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Alaska Internal Medicine & Pediatrics 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 Internal Medicine (3) and Rheumatology (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alaska Internal Medicine & Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D0687680) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alaska Internal Medicine & Pediatrics LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Alaska Internal Medicine & Pediatrics 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 Alaska Internal Medicine & Pediatrics LLC was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.