Terry D Anderson, DO
Individual provider Active NPI Anesthesiology Physician · Overland Park, KS
NPI 1154379634 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1154379634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 0525155 (KS)
- Practice address
- 12300 Metcalf Ave
Anesthesia Dept
Overland Park, KS 66213-1324 - Phone
- (816) 389-6030
- Fax
- (816) 389-6034
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Lukes Physician Group Inc
Practice addresses (Care Compare)
1001 6TH Ave
Leavenworth, KS 66048-3248
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
12330 Metcalf Ave
Overland Park, KS 66213-1324
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
Hospital & facility affiliations
- Saint Luke'S South Hospital
- St Lukes Hospital of Kansas City
- Kansas City Orthopaedic Institute
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051104000558 | KS | Practitioner - Anesthesiology | 0941228258 | Reassigns benefits to 1 organization |
| I20140304000520 | MO | Practitioner - Anesthesiology | 0941228258 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0525155 | KS | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Current |
Accepting new patients | |
| University Health Physicians | Past | Accepting new patients | |
| Truman Medical Centers, Inc. | Past | Accepting new patients | |
| Westport Anesthesia Services of Kansas PA | Anesthesiology | Past | Accepting new patients |
| Westport Anesthesia Services of Missouri, PC | Anesthesiology | Past | Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
5405 W 151st St
Leawood, KS 66224
Phone (913) 323-8830
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756
901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 114453 | MO | |
| Anesthesiology Physician | 207L00000X | 0525155 | KS | Yes |
Addresses
Primary practice location
12300 Metcalf Ave
Anesthesia Dept
Overland Park, KS 66213-1324
Mailing address
9233 Ward Pkwy
Suite 230
Kansas City, MO 64114-3366
Phone (816) 389-6030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00018699 | Other | KS | RR MEDICARE NUMBER |
| 100176220G | Medicaid | KS | |
| 24943042 | Other | KS | BLUE CROSS BLUE SHIELD |
| 249778606 | Medicaid | MO |
NPI Registry JSON
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154379634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9233 WARD PKWY",
"address_2": "SUITE 230",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641143366",
"telephone_number": "816-389-6030",
"fax_number": "816-389-6034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 METCALF AVE",
"address_2": "ANESTHESIA DEPT",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662131324",
"telephone_number": "816-389-6030",
"fax_number": "816-389-6034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "TERRY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "114453",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KS",
"license": "0525155",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE NUMBER",
"identifier": "P00018699",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100176220G",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "24943042",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "249778606",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
- Paul W. Anderson
- Robert Anderson
- Roger Linn Anderson
- Sandra L. Anderson
- Susan Joan Anderson
- Tia Anderson
- Wendy Anderson
- Kelly Andra
- Lincoln Andreasen
- Charles Perry Andrews IV
All providers in Overland Park, KS · Anesthesiology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.