FAIRBANKS UROLOGY
NPI 1043727878
Urology in Fairbanks, AK
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
Specialties & Licenses
Secondary Practice Locations 2
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)
Fairbanks Urology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Fairbanks Urology, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, AKFrequently 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.
Is Fairbanks Urology enrolled in Medicare?
Yes. Fairbanks Urology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fairbanks Urology?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Fairbanks Urology. 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 Urology (3) and Nurse Practitioner (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Fairbanks Urology · NPI 1043727878
Urology organization in Fairbanks, Alaska. Organization record, active in the CMS NPPES registry since January 2, 2018.
## Identity
- **NPI:** 1043727878 (Entity type: Organization)
- **Enumerated:** January 2, 2018
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Tony Nimeh, PHYSICIAN
## Practice location
- **Address:** 1211 CUSHMAN ST, Fairbanks, AK 99701-4680
- **Phone:** (617) 686-6809
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (3), Nurse Practitioner (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 27, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043727878) · Data from the CMS NPPES public registry.