Individual provider Active NPI

Anderson Carter

  • Emergency Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1053061390
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
82273 Issued in MN
Practice address
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone
(708) 684-5375
Fax
(708) 684-3776
NPI assigned
Mar 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 82273 MN Primary
Emergency Medicine Physician 207P00000X 036171180 IL

Addresses

Primary practice location

4440 W 95TH St
Oak Lawn, IL 60453-2600

Mailing address

2829 University Ave SE Ste 730
Minneapolis, MN 55414-3279

Other practice location 1

1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1307

Other practice location 2

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6150

Other practice location 3

1175 Nininger Rd
Hastings, MN 55033-1056
Phone (651) 404-1261

Other practice location 4

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8755

Other practice location 5

2250 NW 26th St
Owatonna, MN 55060-5503
Phone (507) 451-3850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250715001325 IL Practitioner - Emergency Medicine 6103331582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Minnesota, Duluth School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Em Strategies,LTD.Group PAC ID 6103925920, 32 clinicians

Practice addresses (Care Compare)

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-1100

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036171180ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Em Strategies,LTD. Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients

Locations

12701 W 143rd St
Lockport, IL 60491
Phone (708) 364-6337

1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106

Organizations & group practices 1

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

Hospital & facility affiliations 2

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1053061390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY AVE SE STE 730",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-5375",
            "fax_number": "708-684-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Bergslien St",
            "address_purpose": "LOCATION",
            "city": "Baldwin",
            "state": "WI",
            "postal_code": "540022600",
            "country_code": "US",
            "telephone_number": "715-684-1307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1629 E Division St",
            "address_purpose": "LOCATION",
            "city": "River Falls",
            "state": "WI",
            "postal_code": "540221571",
            "country_code": "US",
            "telephone_number": "715-307-6150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1175 Nininger Rd",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MN",
            "postal_code": "550331056",
            "country_code": "US",
            "telephone_number": "651-404-1261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Smith Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022344",
            "country_code": "US",
            "telephone_number": "651-241-8755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 NW 26th St",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550605503",
            "country_code": "US",
            "telephone_number": "507-451-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ANDERSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "82273",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036171180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.