ANCHORAGE PEDIATRIC GROUP
NPI 1538192513
Pediatrics in Anchorage, AK

Active since July 10, 2006CLIA 02D1024455 · Waiver
3340 PROVIDENCE DR, STE 500, ANCHORAGE, AK 99508(907) 562-2423 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anchorage Pediatric Group NPPES

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

ANCHORAGE PEDIATRIC GROUP (NPI 1538192513) is a healthcare organization registered as a pediatrics in Anchorage, Alaska and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Charles Ryan, Senior Partner, as its authorized official.

NPPES Registry Identity

NPI1538192513
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameANCHORAGE PEDIATRIC GROUP
Location Address3340 PROVIDENCE DR, STE 500Anchorage, AK 99508-4616
Mailing Address3340 Providence Dr, Ste 500Anchorage, AK 99508-4616 · (907) 562-2423
Organization SubpartNo
Authorized OfficialCharles RyanSenior Partner · (907) 562-2423
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1538192513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in AK · 1744
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3340 PROVIDENCE DR, Anchorage, AK 99508

Other Identifiers 5

MedicaidMD1744AK
MedicaidMD3158AK
MedicaidMD1116AK
MedicaidMD3035AK
MedicaidMD2694AK

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

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 02D1024455

Anchorage Pediatric Group, LLC · Anchorage, AK
Active · expires Apr 12, 2028
CLIA Number02D1024455
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorCharles Ryan, MD
Laboratory Phone(907) 562-2423
Laboratory LocationAnchorage Pediatric Group, LLC3340 Providence Drive Suite 500, 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
3340 PROVIDENCE DR, SUITE 452
ANCHORAGE, AK 99508
Pediatrics (Pediatric Endocrinology)
3340 PROVIDENCE DR, SUITE A-351
ANCHORAGE, AK 99508
Registered Nurse
3340 PROVIDENCE DR
ANCHORAGE, AK 99508
Social Worker (Clinical)
3340 PROVIDENCE DR, SUITE A351
ANCHORAGE, AK 99508
Pediatrics
3340 PROVIDENCE DR, STE 500
ANCHORAGE, AK 99508
Nurse Practitioner (Family)
3340 PROVIDENCE DR, SUITE 452
ANCHORAGE, AK 99508
Surgery
3340 PROVIDENCE DR, 457
ANCHORAGE, AK 99508
Pediatrics
3340 PROVIDENCE DR, STE 500
ANCHORAGE, AK 99508

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 Pediatric Group's NPI number?

The NPI number for Anchorage Pediatric Group is 1538192513. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Anchorage Pediatric Group located?

Anchorage Pediatric Group is located at 3340 Providence Dr Ste 500, Anchorage, AK 99508. The listed phone number is (907) 562-2423.

What is Anchorage Pediatric Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Anchorage Pediatric Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D1024455) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Anchorage Pediatric Group accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Anchorage Pediatric Group 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 Pediatric Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.