Anchorage Dermatology & Cosmetics, LLC
NPI 1609420215 · Dermatology Physician · Anchorage, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anchorage Dermatology & Cosmetics, LLC is a Dermatology Physician organization in Anchorage, AK (NPI 1609420215).
Provider details
- NPI number
- 1609420215
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Courtney Bagayoko, Authorized Official(626) 353-3885
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 615 E 82nd Ave Ste 302Anchorage, AK 99518-3159Phone: (907) 865-8455Fax: (913) 246-4901
Registry dates
- Enumerated
- 2019-07-31
- Last updated
- 2022-01-03
- Certified
- 2022-01-03
Frequently asked questions
- What is Anchorage Dermatology & Cosmetics, LLC's NPI number?
- Anchorage Dermatology & Cosmetics, LLC's National Provider Identifier (NPI) is 1609420215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Anchorage Dermatology & Cosmetics, LLC?
- Anchorage Dermatology & Cosmetics, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Anchorage Dermatology & Cosmetics, LLC located?
- Anchorage Dermatology & Cosmetics, LLC's practice location on file with NPPES is 615 E 82nd Ave Ste 204, Anchorage, AK 99518-3159.
- What is Anchorage Dermatology & Cosmetics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Anchorage Dermatology & Cosmetics, LLC is (907) 865-8455.
- Does Anchorage Dermatology & Cosmetics, LLC accept Medicare?
- Anchorage Dermatology & Cosmetics, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Anchorage Dermatology & Cosmetics, LLC?
- The authorized official listed on Anchorage Dermatology & Cosmetics, LLC's NPPES record is Courtney Bagayoko, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Anchorage Dermatology & Cosmetics, LLC's NPI active?
- Yes — Anchorage Dermatology & Cosmetics, LLC's NPI (1609420215) is active in the NPPES registry as of the last update on 2022-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.