Todd A Anderson, M.D.

Key facts

NPI

1346487345

Entity type

Individual (NPI type 1)

Primary specialty

Anatomic Pathology & Clinical Pathology Physician 207ZP0102X

License

275365 (NY)

Practice address

100 E 77TH St
Dept. of Pathology
New York, NY 10075-1850

Phone

(857) 366-0256

NPI assigned

Jan 13, 2009

Sex

Male

Sole proprietor

Yes

Organizations & group practices 7

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.

• Premier Medical Group of the Hudson Valley P.C. Urology Physician · Poughkeepsie, NY · NPI 1255437166
  Medicare reassignment Care Compare group NPD NY
• Greenwich Pathology Associates, LLC Anatomic Pathology & Clinical Pathology Physician · Greenwich, CT · NPI 1699968974
  Medicare reassignment Care Compare group NPD ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY · CT
• North Shore-Lij Medical PC Urology Physician · Great Neck, NY · NPI 1053688572
  Medicare reassignment NPD NY
• Premier Medical Group of the Hudson Valley, P.C. Podiatrist · Wappingers Falls, NY · NPI 1467290130
  Care Compare group NPD
• Premier Medical Group of the Hudson Valley, P.C Podiatrist · Poughkeepsie, NY · NPI 1760939581
  Care Compare group
• Premier Medical Group of the Hudson Valley, P.C. Podiatrist · Fishkill, NY · NPI 1255888079
  Care Compare group
• North Shore - Lij Medical PC Internal Medicine Physician · New Hyde Park, NY · NPI 1790043479
  NPD

Hospital & facility affiliations 2

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

• Greenwich Hospital General Acute Care Hospital · Greenwich, CT · NPI 1609846088
  Care Compare affiliation Hospital
• Stamford Hospital General Acute Care Hospital · Stamford, CT · NPI 1356331425
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Pathology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenwich Pathology Associates LLC (8 clinicians)
Premier Medical Group of the Hudson Valley PC (134 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greenwich Hospital Association - Hospital · Greenwich, CT · CCN 070018
• Stamford Hospital Hospital · Stamford, CT · CCN 070006

Merit-based Incentive Payment System (MIPS)

Final score

86.27 of 100 (group)

Quality

72.55

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in NY, CT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles (5 of 8)

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: tanderson@premiermedicalhv.medentdirect.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2014.

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1346487345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 77TH ST",
            "address_2": "DEPT. OF PATHOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751850",
            "telephone_number": "857-366-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 77TH ST",
            "address_2": "DEPT. OF PATHOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751850",
            "telephone_number": "857-366-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "275365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

• Stacy Lee Anderson, MD
• Stewart A Anderson, M.D.
• Teri L Anderson, C.R.N.A.
• Thomas William Anderson III, DPT
• Toby Anderson, LCSW
• Vanessa Rose Anderson
• William Todd Anderson, PHD, PSYD, LP
• Xaria Amari Anderson
• Eva Andersson, M.D.
• Christopher Andino, LCSW

All providers in New York, NY · Anatomic Pathology & Clinical Pathology Physician in New York