NPIMap

Individual provider Active NPI

David Scott Anderson, MD

  • Emergency Medicine Physician
  • Cloquet, MN
National Provider Identifier
1124249743
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
51654 Issued in MN
Practice address
512 Skyline Blvd Ste 1
Cloquet, MN 55720-1199
Phone
(218) 879-4641
NPI assigned
May 1, 2007
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 51654 MN Primary

Addresses

Primary practice location

512 Skyline Blvd Ste 1
Cloquet, MN 55720-1199

Mailing address

512 Skyline Blvd Ste 1
Cloquet, MN 55720-1199
Phone (218) 879-4641

Other practice location 1

290 Main St NW
Suite 100
Elk River, MN 55330-1270
Phone (763) 241-0373

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hisdept@direct.cloquethospital.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090409000353 MN Practitioner - Family PracticePractitioner - Emergency Medicine 8921199043 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians

Practice addresses (Care Compare)

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

512 Skyline Blvd
Cloquet, MN 55720-3787
Phone (218) 879-4641

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Association CurrentSince Jun 1, 2025 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Express Care Current Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jan 1, 2022 Accepting new patients
Unity Family Healthcare Current Accepting new patients
Fairview Clinics CurrentSince Sep 19, 2009 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Sep 19, 2009 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jan 1, 2022 Accepting new patients
Fairview Express Care CurrentSince Aug 23, 2010 Accepting new patients
Fairview Health Services CurrentSince Mar 30, 2009 Accepting new patients
Unity Family Healthcare CurrentSince Jan 14, 2017 Accepting new patients
Fairview Express Care CurrentSince Aug 23, 2010 Accepting new patients
Fairview Clinics CurrentSince Mar 30, 2009 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Unity Family Healthcare CurrentSince Jan 14, 2017 Accepting new patients
Community Memorial Hospital Association PastSince Jun 23, 2025 Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207

512 Skyline Blvd
Ste 1
Cloquet, MN 55720
Phone (218) 879-4641

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

290 Main St NW
Ste 100
Elk River, MN 55330
Phone (763) 241-0373

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

6320 Wedgwood Rd N
Osseo, MN 55311
Phone (763) 268-0400

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

919 Northland Dr
Princeton, MN 55371
Phone (763) 389-3344

Interoperability endpoints

  • Direct secure messaging: danderson4525@fairview.direct-ci.com
  • Direct secure messaging: hisdept@direct.cloquethospital.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1124249743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 SKYLINE BLVD STE 1",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201199",
            "telephone_number": "218-879-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SKYLINE BLVD STE 1",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201199",
            "telephone_number": "218-879-4641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Main St NW",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553301270",
            "country_code": "US",
            "telephone_number": "763-241-0373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "51654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hisdept@direct.cloquethospital.com",
            "affiliation": "N",
            "address_1": "512 Skyline Blvd Ste 1",
            "city": "Cloquet",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557201199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

Verify at the official NPI Registry.