Renal Care Group Alaska Fairbanks LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

RENAL CARE GROUP ALASKA FAIRBANKS LLC

Practice address

1863 Airport Way
Fairbanks, AK 99701-4007

Phone

(907) 452-2900

Fax

(907) 452-2808

NPI assigned

Jun 19, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas L. Weinberg

Title

Evp & General Counsel

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 2

• Alaska Dialysis - Fairbanks Doing business as
• FRESENIUS MEDICAL CARE FAIRBANKS Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ad Partners II, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Anchorage, AK
  • NPI 1316206915

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shuang Ying Bao, M.D.

  • Nephrology Physician
  • Anchorage, AK
  • NPI 1164736930
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1679912059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1863 AIRPORT WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014007",
            "telephone_number": "907-452-2900",
            "fax_number": "907-452-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE GROUP ALASKA FAIRBANKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EVP & GENERAL COUNSEL",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Alaska Dialysis - Fairbanks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FRESENIUS MEDICAL CARE FAIRBANKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosalie Rein, LCSW
• Cassidy Christine Reinartz, DPT
• Relax Your Mind, Body and Soul
• Remote Telehealth Services Alaska LLC
• Remote Telehealth Services Texas, PLLC
• Renal Care Group Alaska, Inc.
• Rebecca Rengel, DPT, ATC
• Isaiah Rericha-Nicholson
• Resilient Roots Counseling
• Resource Center for Parents & Children, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.