Allan A Anderson, MD
Individual provider Active NPI Geriatric Psychiatry Physician · Cambridge, MD
NPI 1083670517 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083670517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Psychiatry Physician 2084P0805X
- License
- D40200 (MD)
- Practice address
- 405 Dorchester Ave
Cambridge, MD 21613-2421 - Phone
- (410) 228-7917
- Fax
- (410) 228-3580
- NPI assigned
- Apr 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner-University Medical Group
Practice addresses (Care Compare)
3838 N Campbell Ave
BLDG 2
Tucson, AZ 85719-1454
Phone (520) 694-8888
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.28 of 100
- Quality
- 71.03
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 80.74
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200207002266 | AZ | Practitioner - Psychiatry |
5890776991 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Alzheimer'S Institute | Psychiatry | Current | Accepting new patients |
| Shore Psychiatric Associates, LLC | Past |
Accepting new patients | |
| For All Seasons, Inc. | Past | Accepting new patients | |
| Arizona Post-Acute Medical Services 1 PC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
901 E Willetta St
Phoenix, AZ 85006
Phone (602) 839-6900
3838 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-2873
2626 E River Rd
Tucson, AZ 85718
Phone (520) 694-7021
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | D40200 | MD | Yes |
Addresses
Primary practice location
405 Dorchester Ave
Cambridge, MD 21613-2421
Mailing address
300 Byrn St
Cambridge, MD 21613-1908
Phone (410) 228-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0653411 | Medicaid | MD |
Other providers in Cambridge, MD
- Amedisys Maryland LLC
- American Arthritis & Rheumatology Associates MD LLC
- Damilola Amoo
- Amp-Cep Group Homes, Inc.
- Anchor'S Up Mobile Therapy, LLC
- Edward Charles Anderson
- Eric Lee Anderson
- Stephen C Andrews
- Arise Community Program Inc.
- Aja Asparagus
All providers in Cambridge, MD · Geriatric Psychiatry Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.