Active NPI
John Samuel Anderson, MD
- Diagnostic Radiology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 23583
- Practice address
- 2255 Spruce Goose St Unit 649
Las Vegas, NV 89135-2649 - Phone
- (720) 891-8322
- NPI assigned
- Dec 19, 2006
- Last updated
- Jan 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 23583 | NV | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 2003014155 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | MD30033 | ME | |
| Diagnostic Radiology Physician | 2085R0202X | M-2209 | GU | |
| Diagnostic Radiology Physician | 2085R0202X | 47442 | CO |
Addresses
Primary practice location
2255 Spruce Goose St Unit 649
Las Vegas, NV 89135-2649
Mailing address
2255 Spruce Goose St Unit 649
Las Vegas, NV 89135-2649
Phone (720) 891-8322
Other practice location 1
489 State St
Bangor, ME 04401-6616
Phone (207) 482-7800
Other practice location 2
4603 W 32nd Ave
Denver, CO 80212-1636
Phone (720) 891-8322
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65474091 | Medicaid | CO | |
| 020065 | Other | CO | KAISER COMMERCIAL NUMBER |
| 1376607150 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA, CO, GU, OH, MO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
1712 Linden Way
Fort Collins, CO 80524-2200
Phone (216) 844-5101
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000
2255 Spruce Goose St
Unit 649
Las Vegas, NV 89135-2649
Phone (216) 844-1700
4603 W 32ND Ave
Denver, CO 80212-1636
Phone (216) 844-1700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47442 | CO | MD | Diagnostic Radiology Physician |
| MD30033 | ME | MD | Diagnostic Radiology Physician |
| 2003014155 | MO | MD | Diagnostic Radiology Physician |
| 23583 | NV | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Family Medicine | Current | Accepting new patients |
| Radiology Associates of South Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| West Virginia Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Riverside Radiology and Interventional Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Pennsylvania Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Imaging Associates | Diagnostic Radiology | Current | Accepting new patients |
| Veeone Medical Group PA | Current | Accepting new patients | |
| Inview Imaging Diagnostics Inc a Professional Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Arch Health Partners | Current | Accepting new patients | |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Lumina Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Guam X-Ray | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, P.a. | Current | Accepting new patients | |
| Lucidsolutions, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| University Medical Center of Southern Nevada | Current | Accepting new patients | |
| University Medical Center of Southern Nevada | Current | Accepting new patients | |
| Arch Health Partners, Inc | Family Medicine | Current | Accepting new patients |
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| Pahs Onpoint Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| All-American Teleradiology LLC | Diagnostic Radiology | Past | Accepting new patients |
| Flatirons Radiology, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Shelin Agrawal and Hyer PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
3450 Hillcrest Ave
Antioch, CA 94531
Phone (925) 757-2100
645 S Minnewawa Ave
Fresno, CA 93727
Phone (559) 691-6560
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661
1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559
9205 S Broadway
Ste 101
Highlands Ranch, CO 80129
Phone (720) 603-4353
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001
489 State St
Bangor, ME 04401
Phone (207) 973-8837
800 E 101st Ter
Ste 350
Kansas City, MO 64131
Phone (816) 327-2336
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
8401 Mentor Ave
Ste B
Mentor, OH 44060
Phone (440) 592-6095
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
Interoperability endpoints
- https://api.platform.athenahealth.com/9821/brand/7/csg/1/fhir/r4
- janderson242211@direct.metrohealth.org
- janderson30280@ehrdirect.uhhospitals.org
- john.anderson.p1@direct.arch.nextgenshare.com
Organizations & group practices 26
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.
-
dba University Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1548393127
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
CO
-
dba Spectrum Radiology South
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1669488011
NV
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
CO, NV
-
dba Palomar Health Medical Group
- Family Medicine Physician
- Poway, CA
- NPI 1649500141
-
dba GRMC Specialty Care Center
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
dba Guam Radiology Consultants
- Vascular & Interventional Radiology Physician
- Tamuning, GU
- NPI 1376767426
Diagnostic Radiology
-
- Radiology Clinic/Center
- Antioch, CA
- NPI 1285603837
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Mentor, OH
- NPI 1326645813
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Hospitals Elyria Medical Center
- General Acute Care Hospital
- Elyria, OH
- NPI 1841299039
-
dba University Hospitals Parma Medical Center
- General Acute Care Hospital
- Parma, OH
- NPI 1164481677
-
dba UH Ahuja Medical Center
- General Acute Care Hospital
- Beachwood, OH
- NPI 1609189604
-
dba Uhcmc
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
dba University Hospitals Mentor Health Center
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
dba University Hospitals Westlake Health Center
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
dba UH Case Medical Center
- Clinic/Center
- Cleveland, OH
- NPI 1760673412
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1376607150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 SPRUCE GOOSE ST UNIT 649",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891352649",
"telephone_number": "720-891-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 SPRUCE GOOSE ST UNIT 649",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891352649",
"telephone_number": "720-891-8322"
}
],
"practiceLocations": [
{
"address_1": "489 State St",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044016616",
"country_code": "US",
"telephone_number": "207-482-7800",
"fax_number": "207-482-7898",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4603 W 32nd Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802121636",
"country_code": "US",
"telephone_number": "720-891-8322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "JOHN",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NV",
"license": "23583",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2003014155",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ME",
"license": "MD30033",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GU",
"license": "M-2209",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "47442",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65474091",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "020065",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376607150",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.