Individual provider Active NPI

Edward Anderson, DPM

  • Podiatrist
  • Henderson, KY
National Provider Identifier
1366445462
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0197 Issued in KY
Practice address
411 Letcher St
Henderson, KY 42420-4245
Phone
(270) 830-6522
NPI assigned
May 23, 2005
Last updated
Apr 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0197 KY Primary

Addresses

Primary practice location

411 Letcher St
Henderson, KY 42420-4245

Mailing address

PO Box 1593
Henderson, KY 42419-1593
Phone (270) 830-6522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101026000674 KY Practitioner - Podiatry 9133312861 Reassigns benefits to 2 organizations
I20111216000330 IN Practitioner - Podiatry 9133312861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

310 Boxwood Run
Mount Washington, KY 40047-7143
Phone (502) 538-3500

411 Letcher St
Henderson, KY 42420-4245

705 N Meridian St
Greentown, IN 46936-1246
Phone (765) 628-3377

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1705
Removal or shaving of skin growth477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0197KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Onhealthcare LLC CurrentSince Feb 27, 2017 Accepting new patients
Onhealthcare, LLC Current Accepting new patients
Preferred Podiatry Group PC Podiatrist CurrentSince Apr 1, 2020 Accepting new patients
Onhealthcare LLC Podiatrist CurrentSince Feb 27, 2017 Accepting new patients

Locations

762 N Dan Jones Rd
Avon, IN 46123
Phone (201) 856-0224

6015 Kratzville Rd
Evansville, IN 47710
Phone (812) 425-8182

705 N Meridian St
Greentown, IN 46936
Phone (765) 628-3377

100 Independence Pkwy
Hartford City, IN 47348
Phone (765) 348-3250

8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 537-9522

710 Michigan Ave
Lowell, IN 46356
Phone (219) 213-3970

1415 Country Club Rd
Mount Vernon, IN 47620
Phone (812) 838-6554

4088 Frame Rd
Newburgh, IN 47630
Phone (812) 853-8567

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

310 Boxwood Run
Mt Washington, KY 40047
Phone (502) 538-3500

Organizations & group practices 5

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1366445462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1593",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424191593",
            "telephone_number": "270-830-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LETCHER ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424204245",
            "telephone_number": "270-830-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "EDWARD",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "0197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.