FAIRBANKS MEMORIAL CARDIOLOGY CENTER, LLC
NPI 1386193472
Clinic/Center - Multi-Specialty in Fairbanks, AK

Active since September 29, 2016
1650 COWLES ST DEPT 60A, FAIRBANKS, AK 99701(907) 458-5525 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2026, Nov 12, 2024, Oct 2, 2023 and 3 more (6 updates tracked since 2016).

About Fairbanks Memorial Cardiology Center, Llc NPPES

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

FAIRBANKS MEMORIAL CARDIOLOGY CENTER, LLC (NPI 1386193472) is a healthcare organization registered as a multi-specialty in Fairbanks, Alaska and active in the NPI registry since September 2016. The organization maintains a secondary practice location in Fairbanks and lists Anthony G Suduth, Cfo, as its authorized official.

NPPES Registry Identity

NPI1386193472
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFAIRBANKS MEMORIAL CARDIOLOGY CENTER, LLC
Location Address1650 COWLES ST DEPT 60AFairbanks, AK 99701-5907
Mailing Address1650 Cowles St Dept 60aFairbanks, AK 99701-5907 · (907) 458-5525
Organization SubpartYesParent: Foundation Health Llc
Authorized OfficialAnthony G SuduthCfo · (907) 458-3310
Enumeration DateSeptember 29, 2016
Last NPPES UpdateApril 14, 20266 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1386193472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
1650 COWLES ST DEPT 60A, Fairbanks, AK 99701

Secondary Practice Location 1

Location 11919 Lathrop StFairbanks, AK 99701-5937 · Phone (907) 458-3346 · Fax (907) 458-5011

Other Identifiers 1

Medicaid1656021AK

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 Memorial Cardiology Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Fairbanks Memorial Cardiology Center, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Cardiovascular Disease (Cardiology)7
Nurse Practitioner6
Interventional Cardiology5
Vascular Surgery4
Family Practice2
Podiatry1

Nearest to this location (20)

See all 25
Nurse Practitioner
NPI 1861745283
1650 COWLES ST
Fairbanks, AK 99701
(907) 458-6450
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750571188
1650 COWLES ST
Fairbanks, AK 99701
(907) 458-6450
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1255302717
1650 COWLES ST
Fairbanks, AK 99701
(907) 458-6450
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760935365
1919 LATHROP ST
Fairbanks, AK 99701
(907) 458-3346
✔ PECOS✔ Accepts Medicare0.2 mi
Podiatry
NPI 1992091953
1919 LATHROP ST
Fairbanks, AK 99701
(907) 459-3545
✔ PECOS✔ Accepts Medicare0.2 mi
Cardiovascular Disease (Cardiology)
NPI 1316936982
1650 COWLES ST
Fairbanks, AK 99701
(907) 458-5684
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1215601695
1650 COWLES ST
Fairbanks, AK 99701
(907) 458-6450
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1972570604
1001 NOBLE ST
Fairbanks, AK 99701
(907) 459-3511
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1811356330
132 FORAN CIR
Fairbanks, AK 99712
(907) 750-2587
✔ PECOS4.5 mi
Interventional Cardiology
NPI 1386669174
3841 PIPER STREET SUITE T100
Anchorage, AK 99508
(907) 561-3211
✔ PECOS✔ Accepts Medicare261 mi
Interventional Cardiology
NPI 1215103528
3841 PIPER ST STE T100
Anchorage, AK 99508
(907) 561-3211
✔ PECOS✔ Accepts Medicare261 mi
Interventional Cardiology
NPI 1053491019
3841 PIPER ST STE T100
Anchorage, AK 99508
(907) 561-3211
✔ PECOS✔ Accepts Medicare261 mi
Nurse Practitioner
NPI 1871105791
3909 ARCTIC BLVD STE 102
Anchorage, AK 99503
(907) 272-1275
✔ PECOS✔ Accepts Medicare261 mi
Vascular Surgery
NPI 1699793968
1135 116TH AVE NE STE 220
Bellevue, WA 98004
(425) 450-7007
✔ PECOS✔ Accepts Medicare1,523 mi
Cardiovascular Disease (Cardiology)
NPI 1841327210
400 NE MOTHER JOSEPH PL
Vancouver, WA 98664
(360) 514-4724
✔ PECOS✔ Accepts Medicare1,636 mi
Vascular Surgery
NPI 1164461331
803 E LINCOLN AVE
Sunnyside, WA 98944
(509) 837-6911
✔ PECOS✔ Accepts Medicare1,652 mi
Cardiovascular Disease (Cardiology)
NPI 1568447076
1101 26TH ST S
Great Falls, MT 59405
(406) 731-8888
✔ PECOS✔ Accepts Medicare1,806 mi
Vascular Surgery
NPI 1104205442
1380 E MEDICAL CENTER DR STE 4500
St George, UT 84790
(435) 251-2501
✔ PECOS✔ Accepts Medicare2,370 mi
Cardiovascular Disease (Cardiology)
NPI 1417912460
1444 S POTOMAC ST
Aurora, CO 80012
(303) 750-0822
✔ PECOS✔ Accepts Medicare2,433 mi
Family Practice
NPI 1215375340
1400 BELLINGER ST
Eau Claire, WI 54703
(715) 838-5222
✔ PECOS✔ Accepts Medicare2,517 mi
See all 25 clinicians

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 Fairbanks Memorial Cardiology Center, LLC's NPI number?

The NPI number for Fairbanks Memorial Cardiology Center, LLC is 1386193472. It was assigned to this organization in the NPPES registry on September 29, 2016.

Where is Fairbanks Memorial Cardiology Center, LLC located?

Fairbanks Memorial Cardiology Center, LLC is located at 1650 Cowles St Dept 60A, Fairbanks, AK 99701. The listed phone number is (907) 458-5525.

What is Fairbanks Memorial Cardiology Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Fairbanks Memorial Cardiology Center, LLC enrolled in Medicare?

Yes. Fairbanks Memorial Cardiology Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairbanks Memorial Cardiology Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 6 Medicare specialties reassign their Medicare billing to Fairbanks Memorial Cardiology Center, LLC. 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 Cardiovascular Disease (Cardiology) (7), Nurse Practitioner (6) and Interventional Cardiology (5). Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fairbanks Memorial Cardiology Center, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Fairbanks Memorial Cardiology Center, LLC 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 Memorial Cardiology Center, LLC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.