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FAIRBANKS UROLOGY
NPI 1043727878
Urology in Fairbanks, AK

Active since January 02, 2018CLIA 02D2144657 · Certificate of Compliance
1211 CUSHMAN ST, FAIRBANKS, AK 99701(617) 686-6809 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fairbanks Urology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRBANKS UROLOGY (NPI 1043727878) is a healthcare organization registered as an urology in Fairbanks, Alaska and active in the NPI registry since January 2018. The organization holds a CLIA Certificate of Compliance certificate valid through January 14, 2028, maintains 2 additional practice locations, and lists Tony Nimeh, Physician, as its authorized official.

NPPES Registry Identity

NPI1043727878
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameFAIRBANKS UROLOGY
Location Address1211 CUSHMAN STFairbanks, AK 99701-4680
Mailing Address607 Old Steese Hwy Ste B306Fairbanks, AK 99701-3163 · (617) 686-6809
Phone(617) 686-6809
Organization SubpartNo
Authorized OfficialTony NimehPhysician · (617) 686-6809
Enumeration DateJanuary 2, 2018
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1043727878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition

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.

1211 CUSHMAN ST, Fairbanks, AK 99701
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Secondary Practice Locations 2

Location 12485 Chief William DrFairbanks, AK 99709-4873 · Phone (617) 686-6809
Location 23851 Piper St Ste U431Anchorage, AK 99508-6902 · Phone (907) 215-6709 · Fax (855) 259-0324

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 02D2144657

Fairbanks Urology · Fairbanks, AK
Active · expires Jan 14, 2028
CLIA Number02D2144657
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2026
Certificate Expiration DateJanuary 14, 2028
Laboratory DirectorDr. Lori M. Millner
Laboratory Phone(907) 328-0989
Laboratory LocationFairbanks Urology1211 Cushman St, Fairbanks, AK 99701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAX LEVITT MD
Urology
1211 CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 328-0989
MS. SYLVIA ANN MCCORMICK P.A.
Physician Assistant (Medical)
1211 CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 328-0989
TONY NIMEH MD
Urology
1211 CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 328-0989
JESSICA ROBERTSON B.S.
Counselor (Addiction (Substance Use Disorder))
1211 CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-5252

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 Fairbanks Urology's NPI number?

The NPI number for Fairbanks Urology is 1043727878. It was assigned to this organization in the NPPES registry on January 2, 2018.

Where is Fairbanks Urology located?

Fairbanks Urology is located at 1211 Cushman St, Fairbanks, AK 99701. The listed phone number is (617) 686-6809.

What is Fairbanks Urology's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Fairbanks Urology hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 02D2144657) is associated with this NPI, valid through January 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fairbanks Urology accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Fairbanks Urology 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 Fairbanks Urology was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.