Individual provider Active NPI

Karin S Anderson, MD

  • Emergency Medicine Physician
  • Arlington, TX
National Provider Identifier
1285619668
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L3909 Issued in TX
Practice address
3301 Matlock Rd
Arlington, TX 76015-2908
Phone
(972) 758-3523
NPI assigned
Dec 8, 2005
Last updated
Dec 4, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L3909 TX Primary

Addresses

Primary practice location

3301 Matlock Rd
Arlington, TX 76015-2908

Mailing address

PO Box 201606
Dallas, TX 75320-1606
Phone (972) 758-3523

Other identifiers 3

IdentifierTypeStateIssuer
8K8911OtherTXBCBS
8M1650OtherTXBCBS
P00126727OtherTXMEDICARE RAILROAD

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
I20040424000396 TX Practitioner - Emergency Medicine 8729074612 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Maryland School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citydoc Urgent Care Center 3 ,PLLCGroup PAC ID 3072762475, 16 clinicians
City Doc Uptown Urgent Care Center PLLCGroup PAC ID 8729243274, 15 clinicians
CD Urgent Care Center 5, PLLCGroup PAC ID 5698070928, 17 clinicians
Citydoc Urgent Care Center 2, PLLCGroup PAC ID 9638354103, 20 clinicians

Practice addresses (Care Compare)

10759 Preston Rd
Suite 200
Dallas, TX 75230-3806
Phone 21487170007109

2909 McKinney Ave
Suite B
Dallas, TX 75204-7413
Phone 21487170007109

3116 W 6TH St
Suite 100
Fort Worth, TX 76107-2731
Phone (817) 984-8687

5301 W Lovers Lane
Suite 109
Dallas, TX 75209-4244
Phone (214) 352-7800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024093LAMDPharmacist
L3909TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citydoc Urgent Care Center 2, PLLC CurrentSince Apr 23, 2012 Accepting new patients
CD Urgent Care Center 5, PLLC CurrentSince Jan 4, 2016 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Citydoc Urgent Care Center 3, PLLC CurrentSince Jun 28, 2014 Accepting new patients
City Doc Uptown Urgent Care Center, PLLC CurrentSince Jan 1, 2012 Accepting new patients
Paul Phillips III, M.D., P.a. Past Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Reclaim Physicians Medical Group Inc Past Accepting new patients

Locations

10759 Preston Rd
#200
Dallas, TX 75230
Phone (214) 871-7000

2807 Allen St
Dallas, TX 75204
Phone (469) 781-1478

2909 McKinney Ave
Ste B
Dallas, TX 75204
Phone (214) 871-7000

3500 Gaston Ave
Dallas, TX 75246

5301 W Lovers Ln
Ste 109
Dallas, TX 75209
Phone (214) 352-7800

3020 W 7th St
Ste 210
Fort Worth, TX 76107
Phone (817) 984-8687

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Organizations & group practices 8

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1285619668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753201606",
            "telephone_number": "972-758-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152908",
            "telephone_number": "972-758-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KARIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L3909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K8911",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M1650",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00126727",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.