Individual provider Active NPI

Robert L. Andersen, M.D.

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1083647812
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2639 Issued in TX
Practice address
7145 N President George Bush Hwy
Garland, TX 75044-2988
Phone
(972) 640-9006
Fax
(866) 531-0876
NPI assigned
Jul 7, 2006
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K2639 TX Primary

Addresses

Primary practice location

7145 N President George Bush Hwy
Garland, TX 75044-2988

Mailing address

7145 N President George Bush Hwy
Garland, TX 75044-2988
Phone (972) 640-9006

Other identifiers 2

IdentifierTypeStateIssuer
118999503MedicaidTX
86037SOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100514000374 TX Practitioner - Family Practice 4385772128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors of Internal Medicine PAGroup PAC ID 5092750620, 27 clinicians

Practice addresses (Care Compare)

240 Adriatic Pkwy
McKinney, TX 75070-8278
Phone (972) 382-9292

4001 W 15TH St
245 Usmd Plano W
Plano, TX 75093-5839
Phone (972) 596-5222

5941 Dallas Pkwy
Suite 100
Plano, TX 75093-9002
Phone (972) 758-4455

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine CurrentSince Jul 1, 1999 Accepting new patients
Medical Clinic of North Texas, PLLC Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 1, 1999 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Oct 1, 2024 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Doctors of Internal Medicine PLLC Past Accepting new patients
Ellis Emergency Physicians PLLC Past Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

5345 N President George Bush Hwy
Garland, TX 75040
Phone (972) 495-5888

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

1110 Cottonwood Ln
Ste L100
Irving, TX 75038
Phone (972) 953-2439

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

6435 S FM 549
Ste 100
Rockwall, TX 75032
Phone (214) 501-1410

6435 S FM 549
Ste 204
Rockwall, TX 75032
Phone (214) 501-1410

1405 W Jefferson St
Waxahachie, TX 75165
Phone (972) 875-9000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: randersen222657@direct.sw.org

Organizations & group practices 7

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1083647812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 N PRESIDENT GEORGE BUSH HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442988",
            "telephone_number": "972-640-9006",
            "fax_number": "866-531-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 N PRESIDENT GEORGE BUSH HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442988",
            "telephone_number": "972-640-9006",
            "fax_number": "866-531-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118999503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86037S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.