Organization Active NPI

U.S. Medgroup of Idaho, LLC

Doing business as Concentra Advanced Specialists

  • Health Service Clinic/Center
  • Addison, TX
National Provider Identifier
1154267433
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
U.S. MEDGROUP OF IDAHO, LLC
Doing business as
Concentra Advanced Specialists
Practice address
5080 Spectrum Dr Ste 1200W
Addison, TX 75001-4624
Phone
(888) 352-6794
Fax
(909) 481-5318
NPI assigned
Apr 28, 2026
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
John Anderson, DO
Title
VP
Phone
(972) 364-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

5080 Spectrum Dr Ste 1200W
Addison, TX 75001-4624

Mailing address

5080 Spectrum Dr Ste 1200W
Addison, TX 75001-4624

Other names 1

  • Concentra Advanced Specialists Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1154267433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR STE 1200W",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR STE 1200W",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014624",
            "telephone_number": "888-352-6794",
            "fax_number": "909-481-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. MEDGROUP OF IDAHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "972-364-8000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concentra Advanced Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.