Individual provider Active NPI

Douglas H Anderson, D.O.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lexington, KY
National Provider Identifier
1124400759
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
C5084 Issued in KY
Practice address
1401 Harrodsburg Rd Ste B275
Lexington, KY 40504-1775
Phone
(859) 278-2334
Fax
(859) 278-0159
NPI assigned
Jun 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C5084 KY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C5084 KY Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X H0094232 MD

Addresses

Primary practice location

1401 Harrodsburg Rd Ste B275
Lexington, KY 40504-1775

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other practice location 1

419 W Redwood St Ste 300
Baltimore, MD 21201-7003
Phone (410) 328-5842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, NY, KY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220809003730 DC Practitioner - Cardiac SurgeryPractitioner - General Surgery 1951615004 Reassigns benefits to 1 organization
I20220809004000 MD Practitioner - Cardiac SurgeryPractitioner - General Surgery 1951615004 Reassigns benefits to 3 organizations
I20260302003274 NY Practitioner - Thoracic Surgery 1951615004 Reassigns benefits to 2 organizations
I20260513002264 KY Practitioner - Thoracic Surgery 1951615004

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: General Surgery
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5191

2401 W Belvedere Ave
Sinai Cardiovascular Faculty
Baltimore, MD 21215-5271
Phone (410) 601-8702

29 S Greene St
Suite 319
Baltimore, MD 21201-1544

419 W Redwood St
FL 3
Baltimore, MD 21201-1734
Phone (410) 328-5300

901 N Harry S Truman Dr
2ND Floor Obs Unit
Largo, MD 20774-5477
Phone (667) 214-1718

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5084KYMDSurgery Physician
H0094232MDMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince Jan 24, 2026 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Sep 19, 2025 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jun 30, 2025 Accepting new patients
Sinai Hospital of Baltimore Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 30, 2025 Accepting new patients
United Medical Associates, P.C. CurrentSince Jan 24, 2026 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Upmc Western Maryland Health Services, LLC Surgery CurrentSince Sep 19, 2025 Accepting new patients
University of Maryland Surgical Associates, PA CurrentSince Jul 18, 2022 Accepting new patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jan 24, 2026 Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300

419 W Redwood St
Ste 300
Baltimore, MD 21201
Phone (410) 328-5300

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

12501 Willowbrook Rd
Fl 3
Cumberland, MD 21502
Phone (240) 964-8515

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

30 Harrison St
Ste 250
Johnson City, NY 13790
Phone (607) 763-6580

Interoperability endpoints

  • Direct secure messaging: danderson245749@direct.umm.edu

Organizations & group practices 11

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1124400759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "859-278-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD STE B275",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041775",
            "telephone_number": "859-278-2334",
            "fax_number": "859-278-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 W Redwood St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212017003",
            "country_code": "US",
            "telephone_number": "410-328-5842",
            "fax_number": "410-706-6976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DOUGLAS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "C5084",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "C5084",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "H0094232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.