David R Anderson, MD
Individual provider Active NPI Diagnostic Ultrasound Physician · Lansing, MI
NPI 1366491664 · NPPES record last updated Jun 27, 2023
Key facts
- NPI
- 1366491664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Ultrasound Physician 2085U0001X
- License
- 4301076201 (MI)
- Practice address
- 3520 Forest Rd FL 3
Lansing, MI 48910-3720 - Phone
- (517) 975-6425
- Fax
- (517) 975-6430
- NPI assigned
- May 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Texas Medical School at San Antonio, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Msu Health Care Inc.
Practice addresses (Care Compare)
3520 Forest Rd
FL 3
Lansing, MI 48910-3720
Phone (517) 975-6425
4660 S Hagadorn Rd
Suite 500
East Lansing, MI 48823-6804
Phone (517) 884-4554
Hospital & facility affiliations
- McLaren Greater Lansing
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040428000450 | MI | Practitioner - Diagnostic Radiology | 1153318563 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msu Health Care Inc. | Diagnostic Ultrasound | Current |
Accepting new patients |
| Breast Center of Lansing PLLC | Past |
Accepting new patients | |
| Advanced Radiology Services PC | Past | Accepting new patients | |
| Ingham Radiology Associates, PC | Past | Accepting new patients |
Locations
4660 S Hagadorn Rd
Ste 600
East Lansing, MI 48823
Phone (517) 267-2460
804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976
804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976
Interoperability endpoints
- david.anderson.1@25394.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 4301076201 | MI | Yes |
Addresses
Primary practice location
3520 Forest Rd FL 3
Lansing, MI 48910-3720
Mailing address
804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 975-6425
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366491664 | Medicaid | MI | |
| 4637502 | Medicaid | MI |
Other providers in Lansing, MI
- Stefanie Anderson-Nassar
- Andrew Mark Anderson
- Ashley Anderson
- Cheri G Anderson
- Christopher R Anderson
- Elizabeth Anderson
- John O. Anderson
- Kristin Anderson
- Kyle Robert Anderson
- Leon Anderson
All providers in Lansing, MI · Diagnostic Ultrasound Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2023. 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.