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ALASKA PEDIATRIC SPECIALTIES LLC
NPI 1396140950
Specialist in Anchorage, AK

Active since October 24, 2014
3841 PIPER ST STE T4-020, ANCHORAGE, AK 99508(907) 929-7337(907) 929-7330 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2026, Jan 5, 2024 (2 updates tracked since 2024).

About Alaska Pediatric Specialties Llc NPPES

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

ALASKA PEDIATRIC SPECIALTIES LLC (NPI 1396140950) is a healthcare organization registered as a specialist in Anchorage, Alaska and active in the NPI registry since October 2014. The organization lists Jeffrey Brent Roaten, President, as its authorized official.

NPPES Registry Identity

NPI1396140950
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALASKA PEDIATRIC SPECIALTIES LLC
Location Address3841 PIPER ST STE T4-020Anchorage, AK 99508-4673
Mailing Address3841 Piper St Ste T4-020Anchorage, AK 99508-4673 · (907) 929-7337 · Fax (907) 929-7330
Phone(907) 929-7337
Fax(907) 929-7330
Organization SubpartNo
Authorized OfficialJeffrey Brent RoatenPresident · (907) 717-9871
Enumeration DateOctober 24, 2014
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1396140950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
3841 PIPER ST STE T4-020, Anchorage, AK 99508
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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

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

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Alaska Pediatric Specialties LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Pediatric Medicine5
General Surgery2
Hematology/Oncology1
Nurse Practitioner1
Pediatric Surgeon1
Pulmonary Disease1

Clinicians, nearest first (11)

Wesley Barry, M.D.
General Surgery
NPI 1205207719
3841 PIPER ST STE T4-020
Anchorage, AK 99508
(907) 929-7337
✔ PECOS✔ Accepts MedicareSame address
Jennifer Bruny, MD
General Surgery
NPI 1801942495
3841 PIPER STREET SUITE T4-020
Anchorage, AK 99508
(907) 929-7337
✔ PECOS✔ Accepts MedicareSame address
Emma Cantor, MD
Pediatric Medicine
NPI 1841615663
3841 PIPER ST STE T4-020
Anchorage, AK 99508
(907) 929-3773
✔ PECOSSame address
Michelle Haimowitz, RN, CNP
Nurse Practitioner
NPI 1275775496
3841 PIPER STREET SUITE T4-020
Anchorage, AK 99508
(907) 929-7337
✔ PECOSSame address
Michael Malandra, M.D.
Pediatric Medicine
NPI 1972829356
3841 PIPER STREET SUITE T4-020
Anchorage, AK 99508
(907) 929-7337
✔ PECOS✔ Accepts MedicareSame address
Robert Merkouris, MD
Pediatric Medicine
NPI 1659832517
3841 PIPER ST STE T4-020
Anchorage, AK 99508
(907) 929-3773
✔ PECOSSame address
Jeffrey Roaten, MD PHD
Pediatric Medicine
NPI 1558546788
3841 PIPER ST STE T4-020
Anchorage, AK 99508
(907) 929-7337
✔ PECOS✔ Accepts MedicareSame address
Dion Roberts, M.D.
Pulmonary Disease
NPI 1992707723
3841 PIPER STREET SUITE T4-020
Anchorage, AK 99508
(907) 929-7337
✔ PECOSSame address
Brenda Wittman, M.D.
Hematology/Oncology
NPI 1255407854
3841 PIPER STREET SUITE T4-020
Anchorage, AK 99508
(907) 929-7337
✔ PECOS✔ Accepts MedicareSame address
Rebecca Weicht, DO
Pediatric Medicine
NPI 1295091239
4315 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
✔ PECOS✔ Accepts Medicare0.8 mi
John Horton, M.D.
Pediatric Surgeon
NPI 1487690889
305 E JEFFERSON ST
Boise, ID 83712
(208) 381-7370
✔ PECOS1,835 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 Alaska Pediatric Specialties LLC's NPI number?

The NPI number for Alaska Pediatric Specialties LLC is 1396140950. It was assigned to this organization in the NPPES registry on October 24, 2014.

Where is Alaska Pediatric Specialties LLC located?

Alaska Pediatric Specialties LLC is located at 3841 Piper St Ste T4-020, Anchorage, AK 99508. The listed phone number is (907) 929-7337.

What is Alaska Pediatric Specialties LLC's specialty?

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

Is Alaska Pediatric Specialties LLC enrolled in Medicare?

Yes. Alaska Pediatric Specialties LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alaska Pediatric Specialties LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 6 Medicare specialties reassign their Medicare billing to Alaska Pediatric Specialties 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 Pediatric Medicine (5), General Surgery (2) and Hematology/Oncology (1). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Alaska Pediatric Specialties LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Alaska Pediatric Specialties 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 Pediatric Specialties LLC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.