Michael Terry Anderson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11011 Issued in OK

Practice address

8800 SE 15
Midwest City, OK 73110-8001

Phone

(405) 739-6840

Fax

(405) 455-3087

NPI assigned

Dec 22, 2005

Last updated

Jan 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Family Practice

Education

University of Oklahoma College of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Medical Group PLLCGroup PAC ID 2365342672, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abiding Home Health of Oklahoma City Home health agency, Oklahoma City, OK, CCN 377675
• SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADIBBA
• Direct secure messaging: tander50@yourcarecommunity.org

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.

• Midwest Medical Group PLLC

  • Family Medicine Physician
  • Midwest City, OK
  • NPI 1508842444
  Medicare reassignment Care Compare group NPD
• Midwest Radiology Associates PC

  • Diagnostic Radiology Physician
  • Midwest City, OK
  • NPI 1427018324
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Impressions Home Health Care

  • Home Health Agency
  • Oklahoma City, OK
  • NPI 1417030446
  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc

  • Ambulance
  • Midwest City, OK
  • NPI 1023603727

  Hospital

  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc

  • General Acute Care Hospital
  • Midwest City, OK
  • NPI 1700471497
  Care Compare affiliation

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1346226164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE 15",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "405-739-6840",
            "fax_number": "405-455-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 SE 15",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731108001",
            "telephone_number": "405-739-6840",
            "fax_number": "405-455-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHAEL",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "11011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD THRU MW MEDICAL",
            "identifier": "080185613",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100230A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100230B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Amin, MD
• Bethany Jo Anderson, CCC-SLP
• Daniel Anderson, PHD
• Joel W Anderson III, M.D.
• Kimberly Michelle Anderson
• Quincy Anderson
• Anesthesia Specialists of Oklahoma, LLC
• Jaylin Anglin
• Anmxv LLC (OKC Speech LLC)
• Michael Annancy

• Family Medicine Physician in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.

Verify at the official NPI Registry.