EAR NOSE & THROAT CLINIC INC.
NPI 1023179587
Otolaryngology in Fairbanks, AK
About Ear Nose & Throat Clinic Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAR NOSE & THROAT CLINIC INC. (NPI 1023179587) is a healthcare organization registered as an otolaryngology in Fairbanks, Alaska and active in the NPI registry since December 2006. The organization lists Sam Y Kim, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 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)
Ear Nose & Throat Clinic Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Ear Nose & Throat Clinic Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Anchorage, AK 99508
Source: 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 Ear Nose & Throat Clinic Inc.'s NPI number?
The NPI number for Ear Nose & Throat Clinic Inc. is 1023179587. It was assigned to this organization in the NPPES registry on December 12, 2006.
Where is Ear Nose & Throat Clinic Inc. located?
Ear Nose & Throat Clinic Inc. is located at 1919 Lathrop St Suite 103, Fairbanks, AK 99701. The listed phone number is (907) 456-7768.
What is Ear Nose & Throat Clinic Inc.'s specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Ear Nose & Throat Clinic Inc. enrolled in Medicare?
Yes. Ear Nose & Throat Clinic Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ear Nose & Throat Clinic Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Ear Nose & Throat Clinic Inc.. 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 Qualified Audiologist (5) and Otolaryngology (2). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ear Nose & Throat Clinic Inc. accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Ear Nose & Throat Clinic Inc. 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 Ear Nose & Throat Clinic Inc. was last updated on December 1, 2022. 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.
# Ear Nose & Throat Clinic Inc. · NPI 1023179587
Otolaryngology organization in Fairbanks, Alaska. Organization record, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1023179587 (Entity type: Organization)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Organization subpart:** No
- **Authorized official:** Sam Kim, PRESIDENT
## Practice location
- **Address:** 1919 LATHROP ST, SUITE 103, Fairbanks, AK 99701-5937
- **Phone:** (907) 456-7768 · **Fax:** (907) 456-4045
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Qualified Audiologist (5), Otolaryngology (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2022
- **Other identifiers:** Medicaid 1020915 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1023179587) · Data from the CMS NPPES public registry.