Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeffrey Brent Roaten, MDPHD

Individual provider Pediatric Surgery Physician · NPI 1558546788

Dr. Jeffrey Brent Roaten, MDPHD is a Pediatric Medicine in Anchorage, Alaska. Qualified in 2001, 25 years ago. Practices with Alaska Pediatric Specialties LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Alaska and Tennessee.

Years since qualifying
25
Licensed in
AK, TN
In the registry since
2008
Specialties on file
2

Practice location Address checks out

3841 Piper St Ste T4-020
Anchorage, AK 99508-4673
Phone: (907) 929-7337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 6550 (AK)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 43121 (TN)

Record details

NPI number1558546788
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJanuary 7, 2008
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Alaska Pediatric Specialties Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Anchorage