Individual provider Active NPI

Sean Anderson, MD

  • Infectious Disease Physician
  • Chicago, IL
National Provider Identifier
1235690645
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D0102933 Issued in MD
Practice address
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone
(773) 702-9660
NPI assigned
Mar 28, 2019
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 125.074312 IL
Infectious Disease Physician 207RI0200X D0102933 MD Primary

Addresses

Primary practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Phone (773) 702-1150

Other practice location 1

5755 Cedar Ln
Columbia, MD 21044-2912
Phone (410) 740-7890

Other practice location 2

11085 Little Patuxent Pkwy Ste 204
Columbia, MD 21044-2979
Phone (410) 418-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209002690 MD Practitioner - Infectious Disease 6709111941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Medical College of Wisconsin, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1300 York Rd
Suite 30D
Lutherville, MD 21093-6090
Phone (443) 275-1337

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.074312ILMDInternal Medicine Physician
D0102933MDMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Regional Physicians LLC CurrentSince Nov 18, 2025 Accepting new patients
Johns Hopkins Regional Physicians LLC Internal Medicine CurrentSince Nov 18, 2025 Accepting new patients

Locations

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

Interoperability endpoints

  • Direct secure messaging: sanderson979945@direct.hopkinsmedicine.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1235690645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HARVESTER DR STE 110",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276686",
            "telephone_number": "773-702-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "773-702-9660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5755 Cedar Ln",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210442912",
            "country_code": "US",
            "telephone_number": "410-740-7890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11085 LITTLE PATUXENT PKWY STE 204",
            "address_purpose": "LOCATION",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442979",
            "country_code": "US",
            "telephone_number": "410-418-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.074312",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0102933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.