DR. LUBOV M COVERDELL M.D.
NPI 1578614756
Specialist in Eagle River, AK

Active since January 15, 2007Opted out of Medicare · through Jul 14, 2027
11470 BUSINESS BLVD, STE 100, EAGLE RIVER, AK 99577(907) 622-4325(907) 622-4326 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lubov M Coverdell M.d. NPPES

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

DR. LUBOV M COVERDELL M.D. (NPI 1578614756) is an individual specialist in Eagle River, Alaska, licensed in Alaska (AK5172) and active in the NPI registry since January 2007. She has opted out of Medicare through July 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578614756
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. LUBOV M COVERDELLCredential: M.D.
Location Address11470 BUSINESS BLVD, STE 100Eagle River, AK 99577-7721
Mailing Address11470 Business Blvd, Ste 100Eagle River, AK 99577-7721 · (907) 622-4325 · Fax (907) 622-4326
Fax(907) 622-4326
Sole ProprietorNo
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1578614756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AK · AK5172
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.
11470 BUSINESS BLVD, Eagle River, AK 99577

Other Identifiers 4

Medicare ID-Type Unspecified122943AK · Medicare
OtherAK5172AK · Ak State License
MedicaidMD5172AK
MedicaidMD51721AK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Lubov M Coverdell M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 14, 2013 through July 14, 2027.

Opt-Out Effective DateJuly 14, 2013
Opt-Out In Effect ThroughJuly 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Adult Health)
11470 BUSINESS BLVD, STE 100
EAGLE RIVER, AK 99577
Physical Therapy Assistant
11470 BUSINESS BLVD, SUITE 200
EAGLE RIVER, AK 99577
Physical Therapist
11470 BUSINESS BLVD, SUITE 200
EAGLE RIVER, AK 99577
Physical Therapist
11470 BUSINESS BLVD, #200
EAGLE RIVER, AK 99577
Physical Therapist
11470 BUSINESS BLVD
EAGLE RIVER, AK 99577
Clinic/Center (Adult Mental Health)
11470 BUSINESS BLVD
EAGLE RIVER, AK 99577
Specialist
11470 BUSINESS BLVD, SUITE 100
EAGLE RIVER, AK 99577
Physical Therapist
11470 BUSINESS BLVD, #200
EAGLE RIVER, AK 99577

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 Lubov Coverdell's NPI number?

The NPI number for Lubov Coverdell is 1578614756. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Lubov Coverdell located?

Lubov Coverdell practices at 11470 Business Blvd Ste 100, Eagle River, AK 99577. The listed phone number is (907) 622-4325.

What is Lubov Coverdell's specialty?

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

Is Lubov Coverdell enrolled in Medicare?

No. Lubov Coverdell has opted out of Medicare through July 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lubov Coverdell was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.