NPIMap

Individual provider Active NPI

Zachary John Anderson, M.D.

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1013925767
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43334 Issued in CO
Practice address
90 Madison St
Suite 504
Denver, CO 80206-5418
Phone
(720) 524-1550
Fax
(720) 524-1551
NPI assigned
Aug 4, 2006
Last updated
Oct 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2005-01208 NC
Family Medicine Physician 207Q00000X 43334 CO Primary
Hospitalist Physician 208M00000X 2005-01208 NC

Addresses

Primary practice location

90 Madison St
Suite 504
Denver, CO 80206-5418

Mailing address

90 Madison St
Suite 504
Denver, CO 80206-5418
Phone (720) 524-1550

Other identifiers 2

IdentifierTypeStateIssuer
75880849MedicaidCO
5901660MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zanderson15123@direct.novanthealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920001047 NC Practitioner - HospitalistPractitioner - Family Practice 0345274213 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
JC Edwards School of Medicine, Marshall University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 474-8139

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Thomasville Medical Center, LLC CurrentSince Aug 14, 2019 Accepting new patients
The Presbyterian Hospital Family Medicine Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Aug 14, 2019 Accepting new patients
Forsyth Memorial Hospital, Inc. Family Medicine Current Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Aug 14, 2019 Accepting new patients
Forsyth Memorial Hospital Inc CurrentSince Aug 14, 2019 Accepting new patients
The Presbyterian Hospital CurrentSince Aug 14, 2019 Accepting new patients
Novant Medical Group Inc Family Medicine CurrentSince May 21, 2009 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 21, 2009 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Aug 14, 2019 Accepting new patients
The Presbyterian Hospital CurrentSince Aug 14, 2019 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Aug 14, 2019 Accepting new patients
Wakemed Faculty Practice Plan Hospitalist Past Accepting new patients
Wakemed Faculty Practice Plan Family Medicine Past Accepting new patients
Inpatient Consultants of Colorado, PC Family Medicine Past Accepting new patients
Inpatient Consultants of Colorado PC Family Medicine Past Accepting new patients

Locations

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: zanderson15123@direct.novanthealth.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1013925767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MADISON ST",
            "address_2": "SUITE 504",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065418",
            "telephone_number": "720-524-1550",
            "fax_number": "720-524-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MADISON ST",
            "address_2": "SUITE 504",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065418",
            "telephone_number": "720-524-1550",
            "fax_number": "720-524-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ZACHARY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2005-01208",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "43334",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2005-01208",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75880849",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901660",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zanderson15123@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "90 Madison St",
            "address_2": "Suite 504",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802065418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.