Individual provider Active NPI

Aiyanna B Anderson, M.D.

  • Maternal & Fetal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1255520326
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
N5598 Issued in TX
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029000492 TX Practitioner - Obstetrics/Gynecology 9739373119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Obstetrix Medical Group of Texas Billing, Inc.Group PAC ID 2365342938, 24 clinicians

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

LicenseStateTypeSpecialty
58398GAMDMaternal & Fetal Medicine Physician
25MA08247500NJMDMaternal & Fetal Medicine Physician
N5598TXMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Women's Healthcare of Texas PLLC Obstetrics & Gynecology CurrentSince Jan 4, 2020 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

  • Direct secure messaging: aiyanna.andersonmd.p4@direct.mednax.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.