Active NPI
Roxanne Anderson, M.D.
- Hospitalist Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME116135
- Practice address
- 1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521 - Phone
- (772) 335-4000
- NPI assigned
- Jun 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN#14938 | FL | |
| Hospitalist Physician | 208M00000X | ME116135 | FL | Primary |
Addresses
Primary practice location
1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521
Mailing address
1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521
Phone (772) 335-4000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | randerson128957@MHSDIRECT.NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140927000374 | FL | Practitioner - Internal Medicine | 3577783406 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of New York Downstate Medical Center, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastside Hospitalists Inc
Practice addresses (Care Compare)
7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone (954) 962-9650
Hospital & facility affiliations
- Memorial Regional Hospital
- Memorial Hospital Miramar
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN#14938 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of FL, LLC | Hospitalist | Current | Accepting new patients |
| Eastside Hospitalists Inc | Hospitalist | Current | Accepting new patients |
| QMC LLC | Hospitalist | Past | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
Interoperability endpoints
- randerson128957@mhsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
FL, Hospitalist
Hospital & facility affiliations 2
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": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1235459207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 SE TIFFANY AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527521",
"telephone_number": "772-335-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SE TIFFANY AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527521",
"telephone_number": "772-335-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ROXANNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-01",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN#14938",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME116135",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "randerson128957@MHSDIRECT.NET",
"affiliation": "N",
"address_1": "7800 Sheridan St",
"city": "Pembroke Pines",
"state": "FL",
"country_code": "US",
"postal_code": "330242536",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.