Active NPI
Lynn A Anderson, MD
- Dermatology Physician
- Tulsa, OK
National Provider Identifier
1124076161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 18895
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070015382 | Other | RAILROAD 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 93.33
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 86.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of skin lesions | 1026 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 288 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midtown Dermatology LLC | Dermatology | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.