FAIRBANKS UROLOGY
NPI 1043727878
Urology in Fairbanks, AK
NPI Status: Active since January 02, 2018
Contact Information
1211 CUSHMAN ST
FAIRBANKS, AK
ZIP 99701
Phone: (617) 686-6809
- Organization
- Urology
- Accepts Insurance
- CLIA Number: 02D2144657
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-14-2028
About FAIRBANKS UROLOGY
This page provides the complete NPI Profile along with additional information for Fairbanks Urology, a provider established in Fairbanks, Alaska operating as a Urology. The healthcare provider is registered in the NPI registry with number 1043727878 assigned on January 2018. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Tony Nimeh Md (Physician)
- NPI
- 1043727878
- Provider Name
- FAIRBANKS UROLOGY
- Entity Type
- Organization
- Location Address
- 1211 CUSHMAN ST FAIRBANKS, AK 99701
- Location Phone
- (617) 686-6809
- Mailing Address
- 607 OLD STEESE HWY STE B306 FAIRBANKS, AK 99701
- Mailing Phone
- (617) 686-6809
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-02-2018
- Last Update Date
- 01-27-2025
- Code Navigator
Location Map
Secondary Locations
- 2485 Chief William Dr
Fairbanks, AK 99709
(617) 686-6809 - 3851 Piper St Ste U431
Anchorage, AK 99508
(907) 215-6709
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Bronze HDHP 7500 - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 02D2144657
- Facility Type
- Physician Office
- Certificate Effective Date
- January 15, 2026
- Certificate Expiration Date
- January 14, 2028
- Laboratory Director
- DR. LORI M. MILLNER
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Fairbanks Urology after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for FAIRBANKS UROLOGY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043727878, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
FAIRBANKS, AK 99701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043727878, enumerated as an "organization" on January 02, 2018.
The provider is located at 1211 CUSHMAN ST FAIRBANKS, AK 99701 and the phone number is (617) 686-6809.
Urology with taxonomy code 208800000X.
The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
