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DR. DANIEL JOHN COVERDELL M.D.
NPI 1609936004
Specialist in Eagle River, AK

Active since December 08, 2006Opted out of Medicare · through Jan 1, 2028
11470 BUSINESS BLVD, SUITE 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 09, 2026.

About Dr. Daniel John Coverdell M.d. NPPES

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

DR. DANIEL JOHN COVERDELL M.D. (NPI 1609936004) is an individual specialist in Eagle River, Alaska, licensed in Alaska (4780) and active in the NPI registry since December 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609936004
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. DANIEL JOHN COVERDELLCredential: M.D.
Location Address11470 BUSINESS BLVD, SUITE 100Eagle River, AK 99577-7721
Mailing Address15217 Darby RdEagle River, AK 99577-9211 · (907) 622-5584
Phone(907) 622-4325
Fax(907) 622-4326
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1609936004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AK · 4780
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
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Other Identifiers 5

Other4780AK · State License #
Medicare ID-Type Unspecified15482AK · Medicare
MedicaidMD6231AK
MedicaidMD63211AK
Medicare UPINH80180AK

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. Daniel John 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 January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-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.

MRS. SUZANNE P STRAUB ANP
Nurse Practitioner (Adult Health)
11470 BUSINESS BLVD, STE 100
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 622-4325
JOANNE K FOSDICK PTA
Physical Therapy Assistant
11470 BUSINESS BLVD, SUITE 200
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 696-5678
NOR-ALASKA PHYSICAL THERAPY, LLC
Physical Therapist
11470 BUSINESS BLVD, SUITE 200
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 696-5678
KENDRA HIGGINS
Physical Therapist
11470 BUSINESS BLVD, #200
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 696-5678
MRS. ASHLEY LYN MCDONALD DPT
Physical Therapist
11470 BUSINESS BLVD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 696-5678
DR. LUBOV M COVERDELL M.D.
Specialist
11470 BUSINESS BLVD, STE 100
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 622-4325
ADVANCED TELEPSYCHIATRY OF ALASKA LLC
Clinic/Center (Adult Mental Health)
11470 BUSINESS BLVD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 406-6690
JAMIE LYNN EVANS DPT
Physical Therapist
11470 BUSINESS BLVD, #200
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 696-5678

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 Daniel Coverdell's NPI number?

The NPI number for Daniel Coverdell is 1609936004. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Daniel Coverdell located?

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

What is Daniel Coverdell's specialty?

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

Is Daniel Coverdell enrolled in Medicare?

No. Daniel Coverdell has opted out of Medicare through January 1, 2028. 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 Daniel 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.