Active NPI
Aiyanna B Anderson, M.D.
- Maternal & Fetal Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- N5598
- Practice address
- 1325 Pennsylvania Ave
Suite 600
Fort Worth, TX 76104-2158 - Phone
- (817) 878-5298
- Fax
- (817) 878-5289
- NPI assigned
- Oct 15, 2007
- Last updated
- Oct 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA08247500 | NJ | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 25MA08247500 | NJ | |
| Maternal & Fetal Medicine Physician | 207VM0101X | N5598 | TX | Primary |
| Maternal & Fetal Medicine Physician | 207VM0101X | 58398 | GA |
Addresses
Primary practice location
1325 Pennsylvania Ave
Suite 600
Fort Worth, TX 76104-2158
Mailing address
1325 Pennsylvania Ave
Suite 600
Fort Worth, TX 76104-2158
Phone (817) 878-5298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Rutgers New Jersey Medical School, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
6100 Harris Pkwy
Suite 295
Fort Worth, TX 76132-6109
Phone (817) 433-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58398 | GA | MD | Maternal & Fetal Medicine Physician |
| 25MA08247500 | NJ | MD | Maternal & Fetal Medicine Physician |
| N5598 | TX | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unified Women's Healthcare of Texas PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Magella Medical Associates Billing, Inc. | Maternal & Fetal Medicine | Past | Accepting new patients |
| Texas Health Harris Methodist Hospital Fort Worth | Past | Accepting new patients |
Locations
1001 N Waldrop Dr
Ste 505
Arlington, TX 76012
Phone (817) 277-9415
5005 S Cooper St
Ste 275
Arlington, TX 76017
Phone (817) 277-9415
800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
3500 Gaston Ave
Dallas, TX 75246
10864 Texas Health Trl
Fort Worth, TX 76244
Phone (682) 212-2000
6100 Harris Pkwy
Ste 295
Fort Worth, TX 76132
Phone (817) 878-5298
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000
1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523
Interoperability endpoints
- aiyanna.andersonmd.p4@direct.mednax.nextgenshare.com
- https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
Organizations & group practices 4
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.
-
dba Obstetrix Medical Group of Texas
- Maternal & Fetal Medicine Physician
- Richardson, TX
- NPI 1568486264
-
- Obstetrics & Gynecology Physician
- Addison, TX
- NPI 1952703373
-
dba Magella Medical Associates
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
Maternal & Fetal Medicine
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1255520326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 PENNSYLVANIA AVE",
"address_2": "SUITE 600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042158",
"telephone_number": "817-878-5298",
"fax_number": "817-878-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 PENNSYLVANIA AVE",
"address_2": "SUITE 600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042158",
"telephone_number": "817-878-5298",
"fax_number": "817-878-5289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "AIYANNA",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA08247500",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NJ",
"license": "25MA08247500",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "TX",
"license": "N5598",
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "GA",
"license": "58398",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.