Individual provider Active NPI

Neysi Anderson, MD

  • Hospitalist Physician
  • Salt Lake City, UT
National Provider Identifier
1124681374
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
14028875-1235 Issued in UT
Practice address
8TH Ave C St
Salt Lake City, UT 84143-0001
Phone
(801) 507-4384
NPI assigned
Apr 15, 2019
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2035 ID
Internal Medicine Physician 207R00000X 134208 MT
Internal Medicine Physician 207R00000X 72007 AZ
Internal Medicine Physician 207R00000X DR.0069015 CO
Internal Medicine Physician 207R00000X 0447525 KS
Internal Medicine Physician 207R00000X 3236 CA
Hospitalist Physician 208M00000X 14028875-1235 UT Primary

Addresses

Primary practice location

8TH Ave C St
Salt Lake City, UT 84143-0001

Mailing address

PO Box 27128
Salt Lake City, UT 84143-0001
Phone (801) 507-4384

Other practice location 1

1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Phone (720) 718-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguestService Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, NM, OR, AZ, UT, IL6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20230811003146 ID Practitioner - Internal Medicine 7113302886 Reassigns benefits to 2 organizations
I20231025002416 NM Practitioner - Internal Medicine 7113302886 Reassigns benefits to 2 organizations
I20231130003117 OR Practitioner - Internal Medicine 7113302886 Reassigns benefits to 2 organizations
I20240109001749 AZ Practitioner - Internal Medicine 7113302886 Reassigns benefits to 1 organization
I20241016001635 UT Practitioner - Internal Medicine 7113302886 Reassigns benefits to 1 organization
I20241031003195 IL Practitioner - Internal Medicine 7113302886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Utah School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 274-6221

8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 408-3446

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72007AZMDInternal Medicine Physician
2035IDMDInternal Medicine Physician
134208MTMDInternal Medicine Physician
3236CAMDOncology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Nov 27, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Ihc Health Services Inc CurrentSince Dec 1, 2024 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince May 20, 2025 Accepting new patients
Providence Health & Services - Oregon Internal Medicine Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 8, 2024 Accepting new patients
Pocatello Health Services, LLC CurrentSince Jul 2, 2023 Accepting new patients
Pocatello Health Services, LLC CurrentSince Jul 2, 2023 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince May 20, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 1, 2022 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Oct 24, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Sep 25, 2023 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Nov 27, 2023 Accepting new patients
Pocatello Health Services, LLC Current Accepting new patients
Sound Physicians of Idaho Family Medicine CurrentSince Sep 10, 2023 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 8, 2024 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Oct 24, 2024 Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients

Locations (25 of 27)

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

1750 E Ken Pratt Blvd
Longmont, CO 80504
Phone (720) 718-7000

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000

4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

405 W Jackson St
Carbondale, IL 62901

2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110

Interoperability endpoints

  • Direct secure messaging: nanderson246948@direct.phs.org
  • Direct secure messaging: nanderson3017567@wm.providencedirect.org
  • Direct secure messaging: nanderson80093@sih.direct-ci.com
  • Direct secure messaging: nanderson881579@ahs.direct-ci.com

Organizations & group practices 22

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 22

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1124681374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841430001",
            "telephone_number": "801-507-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8TH AVE C ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841430001",
            "telephone_number": "801-507-4384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 E Ken Pratt Blvd",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805045311",
            "country_code": "US",
            "telephone_number": "720-718-7000",
            "fax_number": "720-718-0973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NEYSI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "2035",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "134208",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "72007",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0069015",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0447525",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "3236",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "14028875-1235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguestService",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.