Individual provider Active NPI

Lynn A Anderson, MD

  • Dermatology Physician
  • Tulsa, OK
National Provider Identifier
1124076161
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
18895 Issued in OK
Practice address
2424 E 21St St Ste 340
Tulsa, OK 74114-1722
Phone
(918) 728-3100
Fax
(918) 728-3376
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 18895 OK
Dermatology Physician 207N00000X 18895 OK Primary
Pediatric Dermatology Physician 207NP0225X 18895 OK

Addresses

Primary practice location

2424 E 21St St Ste 340
Tulsa, OK 74114-1722

Mailing address

2424 E 21St St Ste 340
Tulsa, OK 74114-1722
Phone (918) 743-4046

Other identifiers 1

IdentifierTypeStateIssuer
070015382OtherRAILROAD MEDICARE - PALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20101004001336 OK Practitioner - Dermatology 4486692696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midtown Dermatology LLC 7 clinicians

Practice addresses (Care Compare)

2424 E 21St St
Suite 340
Tulsa, OK 74114-1722
Phone (918) 743-4046

Merit-based Incentive Payment System (MIPS)

Final score
92.24 of 100Reported as group
Quality
93.33
Promoting interoperability
93
Improvement activities
40
Cost
86.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions1026
Removal or shaving of skin growth1-10
Skin biopsy288

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Dermatology LLC Dermatology CurrentSince Nov 10, 2000 Accepting new patients

Locations

2424 E 21st St
Ste 340
Tulsa, OK 74114
Phone (918) 728-3100

1725 E 19th St
Ste 702
Tulsa, OK 74104
Phone (918) 728-3100

1725 E 19th St
Ste 201
Tulsa, OK 74104
Phone (918) 298-1841

Interoperability endpoints

  • Direct secure messaging: lynn.anderson@direct.stjohnhealthsystem.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1124076161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E 21ST ST STE 340",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141722",
            "telephone_number": "918-743-4046",
            "fax_number": "918-728-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E 21ST ST STE 340",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141722",
            "telephone_number": "918-728-3100",
            "fax_number": "918-728-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LYNN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OK",
            "license": "18895",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "18895",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "OK",
            "license": "18895",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - PALMETTO GBA",
            "identifier": "070015382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.