North Star Plastic Surgery LLC
NPI 1417653569 · Plastic and Reconstructive Surgery Physician · Fairbanks, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
North Star Plastic Surgery LLC is a Plastic and Reconstructive Surgery Physician organization in Fairbanks, AK (NPI 1417653569).
Provider details
- NPI number
- 1417653569
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Erick Martell, Owner(305) 761-1934
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
3 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
- 2023-01-31
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Frequently asked questions
- What is North Star Plastic Surgery LLC's NPI number?
- North Star Plastic Surgery LLC's National Provider Identifier (NPI) is 1417653569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Star Plastic Surgery LLC?
- North Star Plastic Surgery LLC is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is North Star Plastic Surgery LLC located?
- North Star Plastic Surgery LLC's practice location on file with NPPES is 1919 Lathrop St Ste 205, Fairbanks, AK 99701-5942.
- What is North Star Plastic Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for North Star Plastic Surgery LLC is (907) 416-5611.
- Does North Star Plastic Surgery LLC accept Medicare?
- North Star Plastic Surgery 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 North Star Plastic Surgery LLC?
- The authorized official listed on North Star Plastic Surgery LLC's NPPES record is Erick Martell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Star Plastic Surgery LLC's NPI active?
- Yes — North Star Plastic Surgery LLC's NPI (1417653569) is active in the NPPES registry as of the last update on 2023-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.