Individual provider Active NPI

Michael J Anderson, MD

  • Radiation Oncology Physician
  • Henderson, NV
National Provider Identifier
1316916182
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
10398 Issued in NV
Practice address
10001 S Eastern Ave Ste 108
Henderson, NV 89052-3908
Phone
(702) 952-3444
Fax
(702) 952-3494
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 10398 NV Primary

Addresses

Primary practice location

10001 S Eastern Ave Ste 108
Henderson, NV 89052-3908

Mailing address

400 N Stephanie St Ste 300
Henderson, NV 89014-6692
Phone (702) 952-3350

Other identifiers 2

IdentifierTypeStateIssuer
2018819MedicaidNV
XPY201559MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20120326000752 NV Practitioner - Radiation Oncology 6204025406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
State University of Ny Upstate Medical University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allison Curtis Kingsley Meoz Michael and Sanchez PCGroup PAC ID 1254224280, 72 clinicians

Practice addresses (Care Compare)

10001 S Eastern Ave
Suite 108
Henderson, NV 89052-3908
Phone (702) 952-3444

Merit-based Incentive Payment System (MIPS)

Final score
81 of 100Reported as individual
Quality
61.75
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Curtis Kingsley Meoz Michael & Sanchez PC Radiation Oncology CurrentSince Jan 1, 2012 Accepting new patients
Cohen Curtis Farzin Meoz and Schwartz PLLC Radiation Oncology CurrentSince Feb 26, 2013 Accepting new patients
Susan Reisinger, MD Prof. Corp. Radiation Oncology PastSince Sep 23, 2024 Accepting new patients

Locations

400 N Stephanie St
Ste 300
Henderson, NV 89014
Phone (702) 952-3350

10001 S Eastern Ave
Ste 108
Henderson, NV 89052
Phone (702) 438-4694

655 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-2200

3730 S Eastern Ave
Las Vegas, NV 89169
Phone (702) 952-3400

Interoperability endpoints

  • Direct secure messaging: michael.anderson2@cccn.ikm.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1316916182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N STEPHANIE ST STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146692",
            "telephone_number": "702-952-3350",
            "fax_number": "702-952-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE STE 108",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523908",
            "telephone_number": "702-952-3444",
            "fax_number": "702-952-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NV",
            "license": "10398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018819",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XPY201559",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.