James Mark Anderson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H4128 Issued in TX

Practice address

6161 N State Highway 161
Irving, TX 75038

Phone

(972) 258-7499

Fax

(972) 257-0897

NPI assigned

Feb 28, 2006

Last updated

Aug 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 30, 2022 through Dec 30, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: james.anderson@121809649467396.direct.elationemr.com
• Direct secure messaging: james.anderson@996801208713220.direct.elationemr.com

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.

• HCA MHT PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1114278108
  NPD (past)
• Healthcare Associates of Southlake LLP

  dba Executive Medicine of Texas

  • Family Medicine Physician
  • Southlake, TX
  • NPI 1043720154
  NPD (past)
• Premier Provider Health PA

  • Infectious Disease Physician
  • Austin, TX
  • NPI 1013397066
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1225004351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 N STATE HIGHWAY 161",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382220",
            "telephone_number": "972-258-7499",
            "fax_number": "972-257-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 N STATE HIGHWAY 161",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75038",
            "telephone_number": "972-258-7499",
            "fax_number": "972-257-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMES",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "H4128",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114378601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominic Anthony Anaya
• Anchor Functional Medicine Associates, PLLC (Anchor Restorative Medicine)
• Anchor Functional Medicine Associates, PLLC (Anchor Wound Management)
• Anci-Pro Healthcare Solutions, LLC
• Anderson Cares HCS Inc
• Odile Anderson, CRNA
• Paige Anderson, MT-BC
• Sandra Gayle Anderson, MASSAGE THERAPIST
• Shyann Anderson
• Ashley Andreano

• Family Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.