Active NPI
Justin Brandon Anderson, MD
- Family Medicine Physician
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01072226A
- Practice address
- 2401 W University Ave
Muncie, IN 47303-3428 - Phone
- (765) 741-1515
- Fax
- (765) 751-5087
- NPI assigned
- Jun 11, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 01072226A | IN | |
| Family Medicine Physician | 207Q00000X | 01072226A | IN | Primary |
Addresses
Primary practice location
2401 W University Ave
Muncie, IN 47303-3428
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M22404099 | Other | IN | MEDICARE PTAN |
| 201094940 | Medicaid | IN | |
| P01253299 | Other | IN | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jander22@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130917000018 | IN | Practitioner - Family Practice | 3274771464 | Reassigns benefits to 2 organizations |
| I20250822001309 | FL | Practitioner - Family Practice | 3274771464 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Indiana University Health Ball Memorial Physicians IncHospital Physician Services of Florida PA
Practice addresses (Care Compare)
221 N Celia Ave
Muncie, IN 47303-4609
Phone (765) 747-3141
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3111
2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (850) 325-5000
Hospital & facility affiliations
- HCA Florida Capital Hospital
- Indiana University Health Ball Memorial Hospital
- Doctors Memorial Hospital Inc
- Madison County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Indiana, LLC | Family Medicine | Current | Accepting new patients |
| Hospital Physician Services of Florida PA | Family Medicine | Current | Accepting new patients |
| Indiana University Health Ball Memorial Physicians, Inc. | Hospitalist | Current | Accepting new patients |
| Indiana University Health Ball Memorial Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Sound Physicians of Indiana, LLC | Family Medicine | Current | Accepting new patients |
Locations
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
3832 Solutions Ctr
Chicago, IL 60677
600 Richard Gordon Hatcher Blvd
Gary, IN 46402
Phone (219) 886-4404
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
Interoperability endpoints
- jander22@direct.iuhealth.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Family Medicine, IN
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
Family Medicine, FL
-
- Hospitalist Physician
- Muncie, IN
- NPI 1598938037
Hospitalist
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1184063257
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
Hospital
-
- Critical Access Hospital
- Madison, FL
- NPI 1104821461
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1235459355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W UNIVERSITY AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033428",
"telephone_number": "765-741-1515",
"fax_number": "765-751-5087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JUSTIN",
"middle_name": "BRANDON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-11",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01072226A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01072226A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M22404099",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201094940",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01253299",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jander22@direct.iuhealth.org",
"affiliation": "N",
"address_1": "2401 W University Ave",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473033428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.