Organization provider

NORTH STAR PLASTIC SURGERY LLC

Plastic and Reconstructive Surgery Physician Medicare enrolled

NORTH STAR PLASTIC SURGERY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1417653569, based in Fairbanks, AK. It is classified under Plastic and Reconstructive Surgery Physician.

Getting there

The practice address on file is 1919 LATHROP ST STE 205, Fairbanks, AK 99701. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1919 LATHROP ST STE 205, Fairbanks, AK 99701 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
2860849478
Enrollment ID
O20231103000373

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Plastic and Reconstructive Surgery covers

A surgeon who specializes in plastic and reconstructive surgery. NUCC Health Care Provider Taxonomy, code 2086S0122X
Allopathic & Osteopathic Physicians Surgery Plastic and Reconstructive Surgery

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1417653569 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJan 31, 2023
Last updatedSep 13, 2023
StatusActive
Practice address 1919 LATHROP ST STE 205
Fairbanks, AK 99701
(907) 416-5611
Mailing address 1919 LATHROP ST
Fairbanks, AK 99701
Other identifiers 1720992 · Medicaid (AK)
This record was updated on Sep 13, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1417653569 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 6 5 3 5 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 3 5 6 5 3

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417653569?
NPI 1417653569 is the National Provider Identifier assigned to NORTH STAR PLASTIC SURGERY LLC in Fairbanks, AK. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Plastic and Reconstructive Surgery cover?
A surgeon who specializes in plastic and reconstructive surgery.
How do I contact NORTH STAR PLASTIC SURGERY LLC?
The phone number on file with NPPES is (907) 416-5611, last updated Sep 13, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does NORTH STAR PLASTIC SURGERY LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417653569 a valid number?
Yes. 1417653569 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.