TRIBAL- KKGB CFDS
NPI 1720603095
Clinic/Center - Multi-Specialty in Anchorage, AK
About Tribal- Kkgb Cfds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRIBAL- KKGB CFDS (NPI 1720603095) is a healthcare organization registered as a multi-specialty in Anchorage, Alaska and active in the NPI registry since June 2020. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted 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)
Tribal- Kkgb Cfds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
457Medicare enrollment records show 457 clinicians reassign Medicare billing to Tribal- Kkgb Cfds, which bills Medicare for the services they deliver. Of these, 41 practice at this address and 304 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 24
Nearest to this location (20)
See all 457Source: 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 Southcentral Foundation's NPI number?
The NPI number for Southcentral Foundation is 1720603095. It was assigned to this organization in the NPPES registry on June 12, 2020. The provider is doing business as Tribal- Kkgb Cfds.
Where is Southcentral Foundation located?
Southcentral Foundation is located at 4441 Diplomacy Dr, Anchorage, AK 99508. The listed phone number is (907) 729-8880.
What is Southcentral Foundation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Southcentral Foundation enrolled in Medicare?
Yes. Southcentral Foundation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southcentral Foundation?
According to the CMS Revalidation Reassignment List (October 2026 release), 457 clinicians in 24 Medicare specialties reassign their Medicare billing to Southcentral Foundation. 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 Nurse Practitioner (95), Mental Health Counselor (50) and Family Practice (45). Of these, 41 practice at this address and 304 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southcentral Foundation accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Southcentral Foundation 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 Southcentral Foundation was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tribal- Kkgb Cfds · NPI 1720603095
Multi-Specialty organization in Anchorage, Alaska. Organization record, active in the CMS NPPES registry since June 12, 2020.
## Identity
- **NPI:** 1720603095 (Entity type: Organization)
- **Enumerated:** June 12, 2020
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Southcentral Foundation
- **Organization subpart:** Yes (part of Southcentral Foundation)
- **Authorized official:** Ronald Olson, EXECUTIVE VICE PRESIDENT FINANCE
## Practice location
- **Address:** 4441 DIPLOMACY DR, Anchorage, AK 99508-5910
- **Phone:** (907) 729-8880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 457 clinicians in 24 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (95), Mental Health Counselor (50), Family Practice (45); 41 practice at this address and 304 within 10 miles; [full list](https://npiprofile.com/npi/1720603095/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2023
- **Other identifiers:** Medicaid 1710178 (AK)
---
Source: [NPI Profile](https://npiprofile.com/npi/1720603095) · Data from the CMS NPPES public registry.