NPIMap

Individual provider Active NPI

Carl B Anders, MD

  • Internal Medicine Physician
  • Traverse City, MI
National Provider Identifier
1194779843
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301054033 Issued in MI
Practice address
224 Circle Drive
Traverse City, MI 49684-2700
Phone
(231) 932-4903
Fax
(231) 935-0613
NPI assigned
May 19, 2006
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301054033 MI Primary

Addresses

Primary practice location

224 Circle Drive
Traverse City, MI 49684-2700

Mailing address

224 Circle Drive
Traverse City, MI 49684-2700
Phone (231) 932-4903

Other identifiers 2

IdentifierTypeStateIssuer
103465341MedicaidMI
3465341MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carl.anders@mmp.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060214000332 MI Practitioner - Internal Medicine 8921013806 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Traverse Bay Internal Medicine PCGroup PAC ID 5890095673, 5 clinicians

Practice addresses (Care Compare)

3963 W Royal Dr
Traverse City, MI 49684-9200
Phone (231) 486-5516

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Group Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC Internal Medicine CurrentSince Jun 29, 2019 Accepting new patients
Munson Medical Group CurrentSince Jan 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Michigan, PLLC Internal Medicine Current Accepting new patients
Sound Inpatient Physicians-Michigan PLLC Internal Medicine CurrentSince May 29, 2019 Accepting new patients
Traverse Bay Internal Medicine PC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Munson Medical Group Current Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince May 29, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine Current Accepting new patients
Indigo Services, PLC Internal Medicine Past Accepting new patients
Northwest Michigan Surgical Group, P.C. PastSince Aug 17, 2025 Accepting new patients

Locations

2891 Momentum Pl
Chicago, IL 60689

224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

4977 Skyview Ct
Traverse City, MI 49684
Phone (231) 421-6599

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

3963 W Royal Dr
Traverse City, MI 49684
Phone (231) 486-5516

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1200 Sixth St
Ste 200
Traverse City, MI 49684

224 Circle Dr
Traverse City, MI 49684
Phone (231) 932-4912

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHBDAD/Endpoint/HHBDAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHBDAD

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1194779843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CIRCLE DRIVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842700",
            "telephone_number": "231-932-4903",
            "fax_number": "231-935-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 CIRCLE DRIVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842700",
            "telephone_number": "231-932-4903",
            "fax_number": "231-935-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "CARL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301054033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103465341",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3465341",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carl.anders@mmp.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "224 Circle Drive",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496842700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.