A4 Specialty Medical Group Fairbanks LLC
NPI 1134990336 · Multi-Specialty Clinic/Center · Fairbanks, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
A4 Specialty Medical Group Fairbanks LLC is a Multi-Specialty Clinic/Center organization in Fairbanks, AK (NPI 1134990336).
Provider details
- NPI number
- 1134990336
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- A4 Specialty Medical Group LLC
- Organization subpart
- Yes
- Authorized official
- Edward Kramm, Chief Executive Officer(913) 515-6719
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lux Infusion
Registry dates
- Enumerated
- 2024-01-16
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Frequently asked questions
- What is A4 Specialty Medical Group Fairbanks LLC's NPI number?
- A4 Specialty Medical Group Fairbanks LLC's National Provider Identifier (NPI) is 1134990336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is A4 Specialty Medical Group Fairbanks LLC?
- A4 Specialty Medical Group Fairbanks LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is A4 Specialty Medical Group Fairbanks LLC located?
- A4 Specialty Medical Group Fairbanks LLC's practice location on file with NPPES is 282 Bentley Trust Road Suite B, Fairbanks, AK 99701.
- What is A4 Specialty Medical Group Fairbanks LLC's phone number?
- The practice phone number listed in the NPPES registry for A4 Specialty Medical Group Fairbanks LLC is (907) 744-1944.
- Does A4 Specialty Medical Group Fairbanks LLC accept Medicare?
- A4 Specialty Medical Group Fairbanks LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for A4 Specialty Medical Group Fairbanks LLC?
- The authorized official listed on A4 Specialty Medical Group Fairbanks LLC's NPPES record is Edward Kramm, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is A4 Specialty Medical Group Fairbanks LLC's NPI active?
- Yes — A4 Specialty Medical Group Fairbanks LLC's NPI (1134990336) is active in the NPPES registry as of the last update on 2026-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.