Lisa M Anderson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4842000-1205 Issued in UT

Practice address

1126 E 12300 S
Draper, UT 84020-9095

Phone

(801) 545-0500

Fax

(801) 545-0626

NPI assigned

Apr 20, 2006

Last updated

Mar 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Emergency Medicine

Education

University of Utah School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

After Hours Medical LLCGroup PAC ID 8123926904, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: afterhoursmedical.lisaanderson@154036.advancedmd-direct.com

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.

• After Hours Medical LLC

  dba Medallus Medical

  • Urgent Care Clinic/Center
  • Draper, UT
  • NPI 1437251279

  Family Medicine

  Medicare reassignment Care Compare group NPD
• After Hours Medical LLC, Dba Medallus Medical

  dba After Hours Medical- West Valley Clinic

  • Urgent Care Clinic/Center
  • West Valley, UT
  • NPI 1679675417

  Emergency Medicine

  NPD
• After Hours Medical LLC, Dba Medallus Medical

  dba After Hours Holladay Clinic

  • Urgent Care Clinic/Center
  • Draper, UT
  • NPI 1992078349

  Emergency Medicine

  NPD
• Emergency Physicians Integrated Care, LLC

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1578598199
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1083679989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10433 S REDWOOD RD STE 2",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958502",
            "telephone_number": "801-260-1919",
            "fax_number": "801-260-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 E 12300 S",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209095",
            "telephone_number": "801-545-0500",
            "fax_number": "801-545-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "4842000-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Andersen, PSY-D
• Matthew Todd Andersen, MD
• Alexis M Anderson
• Cheronne Danette Anderson, M.D.
• Craig W Anderson, M.D.
• M Brooke Anderson, APRN, FNP-C
• Mackenzie Anderson, PHARMD
• Makaylee Anderson
• Michael Anderson
• Michelle Anderson

• Emergency Medicine Physician in Draper, UT
• Providers in Draper, UT by specialty
• Emergency Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.