ATLAS MEDICAL ALASKA LLC
NPI 1376213207
Internal Medicine in Wasilla, AK

NPI Status: Active since September 13, 2021

Contact Information

3831 E BLUE LUPINE DR STE C
WASILLA, AK
ZIP 99654
Phone: (907) 215-4846
Fax: (907) 215-4847

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  • Organization
  • Internal Medicine
  • Accepts Insurance
  • CLIA Number: 02D1061891
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-08-2025

About ATLAS MEDICAL ALASKA LLC

This page provides the complete NPI Profile along with additional information for Atlas Medical Alaska Llc, an internist established in Wasilla, Alaska operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1376213207 assigned on September 2021. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Atlas Medical Alaska 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 Tyler Pace (Director)

NPI
1376213207
Provider Name
ATLAS MEDICAL ALASKA LLC
Entity Type
Organization
Location Address
3831 E BLUE LUPINE DR STE C WASILLA, AK 99654
Location Phone
(907) 215-4846
Location Fax
(907) 215-4847
Mailing Address
950 E BOGARD RD STE 228 WASILLA, AK 99654
Mailing Phone
(907) 215-4846
Mailing Fax
(907) 215-4847
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-13-2021
Last Update Date
12-30-2024
Code Navigator

An internist like Atlas Medical Alaska Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 3501 Denali St Ste 202
    Anchorage, AK 99503
    (907) 215-4846

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TYLER PACE

Authorized Official Title
DIRECTOR
Authorized Official Phone
(907) 215-4846

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
02D1061891
Facility Type
Physician Office
Certificate Effective Date
November 09, 2023
Certificate Expiration Date
November 08, 2025
Laboratory Director
DR. TIMOTHY BUFFEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Atlas Medical Alaska 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.

Reviews for ATLAS MEDICAL ALASKA LLC

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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 1376213207, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 2 → 4 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 4 + 1 + 6 + 2 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1376213207.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center
3831 E BLUE LUPINE DR STE C
WASILLA, AK 99654
Nurse Practitioner (Psychiatric/Mental Health)
3831 E BLUE LUPINE DR STE C
WASILLA, AK 99654

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376213207, enumerated as an "organization" on September 13, 2021.

The provider is located at 3831 E BLUE LUPINE DR STE C WASILLA, AK 99654 and the phone number is (907) 215-4846.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.