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FAIRBANKS MEDICAL IMAGING LLC
NPI 1528360625
Radiology - Diagnostic Radiology in Fairbanks, AK

Active since November 22, 2010
2310 PEGER RD, SUITE 102, FAIRBANKS, AK 99709(360) 424-6161(360) 848-1167 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fairbanks Medical Imaging Llc NPPES

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

FAIRBANKS MEDICAL IMAGING LLC (NPI 1528360625) is a healthcare organization registered as a diagnostic radiology in Fairbanks, Alaska and active in the NPI registry since November 2010. The organization lists John T Burke, Physician, as its authorized official.

NPPES Registry Identity

NPI1528360625
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameFAIRBANKS MEDICAL IMAGING LLC
Location Address2310 PEGER RD, SUITE 102Fairbanks, AK 99709-5305
Mailing Address1320 E Division StMount Vernon, WA 98274-4133 · (360) 424-6161 · Fax (360) 848-1167
Phone(360) 424-6161
Fax(360) 848-1167
Organization SubpartNo
Authorized OfficialJohn T BurkePhysician · (360) 424-6161
Enumeration DateNovember 22, 2010
Last NPPES UpdateMarch 27, 2012
✔ NPI 1528360625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2310 PEGER RD, Fairbanks, AK 99709
Open in Google Maps ↗

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, Providence Health Plan.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 Medical Imaging Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

52

Medicare enrollment records show 52 clinicians reassign Medicare billing to Fairbanks Medical Imaging LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Diagnostic Radiology49
Interventional Radiology3

Nearest to this location (20)

See all 52
Dane Pernot, DO
Diagnostic Radiology
NPI 1801351457
4076 NEELY RD
Apo, AA 99703
(907) 361-5172
✔ PECOS✔ Accepts Medicare3.5 mi
David Rogers, MD
Diagnostic Radiology
NPI 1407198823
5955 ZEAMER AVE
Elmendorf Afb, AK 99506
(907) 580-6746
✔ PECOS✔ Accepts Medicare256 mi
Elizabeth Hosselkus, M.D.
Interventional Radiology
NPI 1720309123
4315 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-2354
✔ PECOS✔ Accepts Medicare260 mi
Jesse Kincaid, M.D.
Diagnostic Radiology
NPI 1093835829
250 HOSPITAL PL
Soldotna, AK 99669
(907) 714-4580
✔ PECOS✔ Accepts Medicare318 mi
Laurence Cambron, MD PHD
Diagnostic Radiology
NPI 1417924242
1320 E DIVISION
Mount Vernon, WA 98274
(360) 424-6161
✔ PECOS✔ Accepts Medicare1,473 mi
Scott Harrison, MD
Diagnostic Radiology
NPI 1558335372
1320 E DIVISION
Mount Vernon, WA 98274
(360) 424-6161
✔ PECOS✔ Accepts Medicare1,473 mi
Daniel Pham, MD
Diagnostic Radiology
NPI 1568658524
1320 E DIVISION ST
Mount Vernon, WA 98274
(415) 203-6328
✔ PECOS✔ Accepts Medicare1,473 mi
Andrew Robbins, MD
Diagnostic Radiology
NPI 1477970382
1320 E DIVISION ST
Mount Vernon, WA 98274
(360) 424-6161
✔ PECOS✔ Accepts Medicare1,473 mi
Casey Medina, MD
Diagnostic Radiology
NPI 1609304070
125 N 18TH ST STE C
Mount Vernon, WA 98273
(360) 424-6161
✔ PECOS✔ Accepts Medicare1,473 mi
Aaron Yu, MD
Diagnostic Radiology
NPI 1386718625
125 N 18TH ST STE C
Mount Vernon, WA 98273
(360) 424-6161
✔ PECOS✔ Accepts Medicare1,473 mi
Fletcher Moore, MD
Diagnostic Radiology
NPI 1851778674
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 385-2200
✔ PECOS✔ Accepts Medicare1,481 mi
Kristin Grant, M.D.
Diagnostic Radiology
NPI 1831361542
330 S STILLAGUAMISH AVE DEPARTMENT OF RADIOLOGY
Arlington, WA 98223
(360) 618-7614
✔ PECOS✔ Accepts Medicare1,491 mi
Germaine Johnson, MD
Diagnostic Radiology
NPI 1033220298
19020 33RD AVE W STE 210
Lynnwood, WA 98036
(425) 563-1500
✔ PECOS✔ Accepts Medicare1,509 mi
Andrew Nguyen, MD
Diagnostic Radiology
NPI 1699118034
19020 33RD AVE W STE 210
Lynnwood, WA 98036
(425) 563-1500
✔ PECOS✔ Accepts Medicare1,509 mi
Frederic Joseph, MD
Diagnostic Radiology
NPI 1609835214
1550 N 115TH NORTHWEST HOSPITAL
Seattle, WA 98133
(206) 368-1744
✔ PECOS✔ Accepts Medicare1,515 mi
Muneer Desai, MD
Diagnostic Radiology
NPI 1376516021
1936 4TH AVE W
Seattle, WA 98119
(206) 818-4337
✔ PECOS1,519 mi
Larry Cai, MD
Diagnostic Radiology
NPI 1316301823
1959 NE PACIFIC ST.
Seattle, WA 98195
(206) 520-5000
✔ PECOS✔ Accepts Medicare1,519 mi
Sean Dwijendra, MD
Diagnostic Radiology
NPI 1942797170
1959 NE PACIFIC ST
Seattle, WA 98195
(206) 520-5000
✔ PECOS✔ Accepts Medicare1,519 mi
Arthie Jeyakumar
Interventional Radiology
NPI 1568818292
201 16TH AVE E
Seattle, WA 98112
(206) 326-3000
✔ PECOS✔ Accepts Medicare1,521 mi
Thomas Le, MD, MS
Interventional Radiology
NPI 1215189253
14445 OLIVE VIEW DR 2D-115
Sylmar, CA 91342
(818) 364-4079
✔ PECOS✔ Accepts Medicare2,438 mi
See all 52 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 Medical Imaging LLC's NPI number?

The NPI number for Fairbanks Medical Imaging LLC is 1528360625. It was assigned to this organization in the NPPES registry on November 22, 2010.

Where is Fairbanks Medical Imaging LLC located?

Fairbanks Medical Imaging LLC is located at 2310 Peger Rd Suite 102, Fairbanks, AK 99709. The listed phone number is (360) 424-6161.

What is Fairbanks Medical Imaging LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Fairbanks Medical Imaging LLC enrolled in Medicare?

Yes. Fairbanks Medical Imaging LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairbanks Medical Imaging LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 2 Medicare specialties reassign their Medicare billing to Fairbanks Medical Imaging 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 Diagnostic Radiology (49) and Interventional Radiology (3). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fairbanks Medical Imaging LLC accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Fairbanks Medical Imaging 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 Medical Imaging LLC was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.