Individual provider Active NPI

Alan Anderson, D.O.

  • Psychiatry Physician
  • Saint Joseph, MO
National Provider Identifier
1003159005
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2020028558 Issued in MO
Practice address
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone
(816) 271-7273
Fax
(816) 271-7376
NPI assigned
Mar 28, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 007306 AZ
Psychiatry Physician 2084P0800X 036139810 IL
Psychiatry Physician 2084P0800X 2020028558 MO Primary

Addresses

Primary practice location

5325 Faraon St
Saint Joseph, MO 64506-3488

Mailing address

211 NE 54TH St Ste 201
Kansas City, MO 64118-4330
Phone (816) 453-6777

Other practice location 1

7575 E Earll Dr
Scottsdale, AZ 85251-6915
Phone (480) 941-7500

Other practice location 2

211 NE 54th St Ste 201
Kansas City, MO 64118-4330
Phone (816) 453-6777

Other practice location 3

2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-7918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902002449 MO Practitioner - Psychiatry 4082918883 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Chicago College of Osteopathy, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

211 NE 54TH St
Suite 201
Kansas City, MO 64118-4330
Phone (816) 453-6777

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
007306AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Family Medicine CurrentSince Nov 6, 2020 Accepting new patients
Meritas Health Psychiatry CurrentSince Oct 1, 2020 Accepting new patients
Meritas Health Corporation CurrentSince Oct 1, 2020 Accepting new patients
Meritas Health Corporation Family Medicine Current Accepting new patients
Heartland Regional Medical Center CurrentSince Nov 6, 2020 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Heartland Regional Medical Center Past Accepting new patients

Locations

211 NE 54th St
Ste 2
Kansas City, MO 64118
Phone (816) 453-6777

211 NE 54th St
Ste 201
Kansas City, MO 64118
Phone (816) 453-6777

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506

Networks

  • IL PPO Downstate
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IA HMO

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003159005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NE 54TH ST STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184330",
            "telephone_number": "816-453-6777",
            "fax_number": "816-454-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063488",
            "telephone_number": "816-271-7273",
            "fax_number": "816-271-7376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7575 E Earll Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852516915",
            "country_code": "US",
            "telephone_number": "480-941-7500",
            "fax_number": "480-941-7567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 NE 54th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641184330",
            "country_code": "US",
            "telephone_number": "816-453-6777",
            "fax_number": "816-454-3601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2016 S Main St",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644682655",
            "country_code": "US",
            "telephone_number": "660-562-7918",
            "fax_number": "660-562-7946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "007306",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036139810",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2020028558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.