Kimberly J Wonderlich MD Faad Dermatology LLC
NPI 1396124897 · Dermatology Physician · Fairbanks, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly J Wonderlich MD Faad Dermatology LLC is a Dermatology Physician organization in Fairbanks, AK (NPI 1396124897).
Provider details
- NPI number
- 1396124897
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Wonderlich, Managing Member(907) 456-1979
- License
- 8102 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Registry dates
- Enumerated
- 2015-05-29
- Last updated
- 2019-02-13
Frequently asked questions
- What is Kimberly J Wonderlich MD Faad Dermatology LLC's NPI number?
- Kimberly J Wonderlich MD Faad Dermatology LLC's National Provider Identifier (NPI) is 1396124897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kimberly J Wonderlich MD Faad Dermatology LLC?
- Kimberly J Wonderlich MD Faad Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Kimberly J Wonderlich MD Faad Dermatology LLC located?
- Kimberly J Wonderlich MD Faad Dermatology LLC's practice location on file with NPPES is 2775 College Road, Fairbanks, AK 99709.
- What is Kimberly J Wonderlich MD Faad Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Kimberly J Wonderlich MD Faad Dermatology LLC is (907) 456-1979.
- Does Kimberly J Wonderlich MD Faad Dermatology LLC accept Medicare?
- Kimberly J Wonderlich MD Faad Dermatology 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 Kimberly J Wonderlich MD Faad Dermatology LLC?
- The authorized official listed on Kimberly J Wonderlich MD Faad Dermatology LLC's NPPES record is Kimberly Wonderlich, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kimberly J Wonderlich MD Faad Dermatology LLC's NPI active?
- Yes — Kimberly J Wonderlich MD Faad Dermatology LLC's NPI (1396124897) is active in the NPPES registry as of the last update on 2019-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.