Individual provider Active NPI

John Frederick Anderson, MD

  • Radiation Oncology Physician
  • Lafayette, LA
National Provider Identifier
1124288956
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD.206112 Issued in LA
Practice address
4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800
Phone
(337) 769-8660
Fax
(337) 769-8661
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD.206112 LA Primary

Addresses

Primary practice location

4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800

Mailing address

4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800
Phone (337) 769-8660

Other identifiers 2

IdentifierTypeStateIssuer
1081639MedicaidLA
MD.206112OtherMSMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20130918000075 LA Practitioner - Radiation Oncology 5496999203 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Texas Southwestern Medical School at Dallas, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Associates of Acadiana LLPGroup PAC ID 4880975747, 6 clinicians
E Plus Oncologics Louisiana, LLCGroup PAC ID 5496918278, 5 clinicians
Acadiana Radiation Therapy LLCGroup PAC ID 1759604853, 6 clinicians

Practice addresses (Care Compare)

3975 I 49 S Service Rd
Suite 106
Opelousas, LA 70570-0775
Phone (337) 942-7609

4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800
Phone (337) 769-8660

525 N Lewis St
New Iberia, LA 70563-2015
Phone (337) 364-1131

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006
  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044

Merit-based Incentive Payment System (MIPS)

Final score
58.3 of 100Reported as individual
Quality
76.8
Improvement activities
0
Cost
74.38

Merit-based Incentive Payment System (MIPS)

Final score
97.75 of 100Reported as individual
Quality
92.63
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.206112LAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E Plus Oncologics Louisiana LLC Radiation Oncology CurrentSince Jul 15, 2013 Accepting new patients
Radiation Oncology Associates of Acadiana, LLP Radiation Oncology CurrentSince Jan 1, 2017 Accepting new patients
Acadiana Radiation Therapy LLC Radiation Oncology CurrentSince Oct 31, 2014 Accepting new patients
Oncologics, Inc. Radiation Oncology PastSince Jan 1, 2017 Accepting new patients

Locations

155 Hospital Dr
Ste 100
Lafayette, LA 70503
Phone (337) 235-7743

4809 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 981-2949

4809 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (318) 237-2057

155 Hospital Dr
Ste 102
Lafayette, LA 70503
Phone (337) 289-8067

525 N Lewis St
New Iberia, LA 70563
Phone (337) 364-1131

3975 I 49 S Service Rd
Ste 106
Opelousas, LA 70570
Phone (337) 942-7609

Interoperability endpoints

  • Direct secure messaging: janderson@epluscancercare.direct.varian.com
  • Direct secure messaging: janderson@ionetwork.direct.varian.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1124288956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-769-8660",
            "fax_number": "337-769-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-769-8660",
            "fax_number": "337-769-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "MD.206112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1081639",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD.206112",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.