Edward Anderson, DPM
Individual provider Active NPI Podiatrist · Henderson, KY
NPI 1366445462 · NPPES record last updated Apr 7, 2017
Key facts
- NPI
- 1366445462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 0197 (KY)
- Practice address
- 411 Letcher St
Henderson, KY 42420-4245 - Phone
- (270) 830-6522
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Preferred Podiatry Group PC
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 100
- Quality
- 72.99
- Improvement activities
- 40
- Cost
- 75.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1705 |
| Removal or shaving of skin growth | 477 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101026000674 | KY | Practitioner - Podiatry | 9133312861 | Reassigns benefits to 2 organizations |
| I20111216000330 | IN | Practitioner - Podiatry | 9133312861 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0197 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onhealthcare, LLC | Current | Accepting new patients | |
| Onhealthcare LLC | Podiatrist | Current |
Accepting new patients |
| Onhealthcare LLC | Current |
Accepting new patients | |
| Preferred Podiatry Group PC | Podiatrist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0197 | KY | Yes |
Addresses
Primary practice location
411 Letcher St
Henderson, KY 42420-4245
Mailing address
PO Box 1593
Henderson, KY 42419-1593
Phone (270) 830-6522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00733506 | Other | IN | RAILROAD MEDICARE |
| 100381580A | Medicaid | IN | |
| 480034923 | Other | KY | RAILROAD MEDICARE |
| 80001977 | Medicaid | KY |
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.