Active NPI
Tony Nimeh, MD
- Urology Physician
- Fairbanks, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 036135828
- Practice address
- 1211 Cushman St
Fairbanks, AK 99701-4680 - Phone
- (907) 328-0989
- NPI assigned
- Jan 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 036135828 | IL | Primary |
Addresses
Primary practice location
1211 Cushman St
Fairbanks, AK 99701-4680
Mailing address
104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 84.53
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036135828 | IL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks Clinic Inc | Current | Accepting new patients | |
| Fairbanks Urology | Urology | Current | Accepting new patients |
| Alaska Neuroscience Associates,LLC | Past | Accepting new patients |
Locations
1200 Airport Heights Dr
Ste 200
Anchorage, AK 99508
Phone (907) 250-6767
3851 Piper St
Ste U431
Anchorage, AK 99508
Phone (907) 215-6709
607 Old Steese Hwy
Ste B306
Fairbanks, AK 99701
1211 Cushman St
Fairbanks, AK 99701
Phone (907) 328-0989
1905 Cowles St
Ste B
Fairbanks, AK 99701
Phone (907) 371-1766
2485 Chief William Dr
Fairbanks, AK 99709
Phone (907) 238-0989
104 Woodmont Blvd
Ste 500
Nashville, TN 37205
Phone (615) 467-7400
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFDCBD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Fairbanks, AK
- NPI 1043727878
-
- Clinic/Center
- Fairbanks, AK
- NPI 1073636148
-
- Neurological Surgery Physician
- Anchorage, AK
- NPI 1528253838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1760804777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WOODMONT BLVD STE 500",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 CUSHMAN ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014680",
"telephone_number": "907-328-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMEH",
"first_name": "TONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-09",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036135828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.