Individual provider Active NPI

Dustin C Anderson, M.D.

  • Anesthesiology Physician
  • Washington, UT
National Provider Identifier
1306053897
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
8637396-1205 Issued in UT
Practice address
374 W Granite Dr
Washington, UT 84780-8330
Phone
(801) 891-0987
NPI assigned
May 16, 2007
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 8637396-1205 UT Primary
Anesthesiology Physician 207L00000X 52328 WI
Anesthesiology Physician 207L00000X 01098492A IN

Addresses

Primary practice location

374 W Granite Dr
Washington, UT 84780-8330

Mailing address

1268 W 970 South Cir
Cedar City, UT 84720-3680
Phone (435) 592-3013

Other practice location 1

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 935-8747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WI, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130711000835 UT Practitioner - Anesthesiology 7012157225 Reassigns benefits to 2 organizations
I20250926002810 WI Practitioner - Anesthesiology 7012157225 Reassigns benefits to 1 organization
I20260129002245 IN Practitioner - Anesthesiology 7012157225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Utah School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain West Anesthesia LLCGroup PAC ID 9032018502, 267 clinicians
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Vituity-Wisconsin Anesthesia SCGroup PAC ID 2163968819, 144 clinicians

Practice addresses (Care Compare)

1034 N 500
Provo, UT 84604-3380
Phone (801) 357-7850

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
89.3
Improvement activities
40
Cost
78.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01098492AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Mar 23, 2026 Accepting new patients
Reid Physician Associates, Inc CurrentSince Mar 23, 2026 Accepting new patients
Ihc Health Services Inc Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Sep 8, 2025 Accepting new patients
Mountain West Anesthesia LLC Anesthesiology CurrentSince Jul 1, 2013 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Sep 8, 2025 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology Current Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

3340 N Center St
Ste 800
Lehi, UT 84043
Phone (800) 501-4788

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056

9660 S 1300 E
Sandy, UT 84094
Phone (801) 314-2417

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

Interoperability endpoints

  • Direct secure messaging: danderson956017@direct.froedtert.com

Organizations & group practices 9

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 4

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1306053897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 W 970 SOUTH CIR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203680",
            "telephone_number": "435-592-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 W GRANITE DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808330",
            "telephone_number": "801-891-0987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-935-8747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DUSTIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "8637396-1205",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "52328",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01098492A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

Verify at the official NPI Registry.