Alaska Pediatric Specialties LLC
NPI 1396140950ActiveOrganization· Specialist· Anchorage, AK
Specialist in Anchorage, Alaska, registered in NPPES in October 2014. The authorized official on file is Jeffrey Brent Roaten, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396140950 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2014 |
| Last updated in NPPES | Feb 4, 2026 |
| Certified by provider | Feb 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AK) |
|---|
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