Active NPI
Daniel Kent Anderson, M.D.
- Internal Medicine Physician
- Grinnell, IA
National Provider Identifier
1104807692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 27178
- Practice address
- 210 4TH Ave
Mab 3Rd Floor
Grinnell, IA 50112-1898 - Phone
- (641) 236-2382
- Fax
- (641) 236-2907
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27178 | IA | Primary |
Addresses
Primary practice location
210 4TH Ave
Mab 3Rd Floor
Grinnell, IA 50112-1898
Mailing address
210 4TH Ave
Mab 3Rd Floor
Grinnell, IA 50112-1898
Phone (641) 236-2382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1057802 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27178 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebelsky Family Practice LLC | Past | Accepting new patients | |
| Michael J Rosenfeld | Past | Accepting new patients | |
| Grinnell Regional Medical Center | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Grinnell, IA
- NPI 1437663242
Internal Medicine
-
- Neurology Physician
- Grinnell, IA
- NPI 1245342286
-
- Family Medicine Physician
- Grinnell, IA
- NPI 1689605768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104807692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 4TH AVE",
"address_2": "MAB 3RD FLOOR",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501121898",
"telephone_number": "641-236-2382",
"fax_number": "641-236-2907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 4TH AVE",
"address_2": "MAB 3RD FLOOR",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501121898",
"telephone_number": "641-236-2382",
"fax_number": "641-236-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DANIEL",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "27178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1057802",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grinnell, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.