Individual provider Active NPI

John Samuel Anderson, MD

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1376607150
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23583 Issued in NV
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
65474091MedicaidCO
020065OtherCOKAISER COMMERCIAL NUMBER
1376607150MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA, CO, GU, OH, MO, TX7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20070823000949 NV Practitioner - Diagnostic Radiology 3779675525 Reassigns benefits to 3 organizations
I20070905000717 CA Practitioner - Diagnostic Radiology 3779675525 Reassigns benefits to 2 organizations
I20090602000397 CO Practitioner - Diagnostic Radiology 3779675525 Reassigns benefits to 9 organizations
I20200227000793 GU Practitioner - Diagnostic Radiology 3779675525 Reassigns benefits to 2 organizations
I20200702002510 OH Practitioner - Diagnostic Radiology 3779675525 Reassigns benefits to 3 organizations
I20230821000810 MO Practitioner - Diagnostic Radiology 3779675525 Reassigns benefits to 1 organization
I20260331000236 TX Practitioner - Diagnostic Radiology 3779675525 Reassigns benefits to 1 organization

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
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

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

LicenseStateTypeSpecialty
47442COMDDiagnostic Radiology Physician
MD30033MEMDDiagnostic Radiology Physician
2003014155MOMDDiagnostic Radiology Physician
23583NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Family Medicine CurrentSince Jul 13, 2023 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Mar 6, 2025 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Pennsylvania Radiology Associates PC Diagnostic Radiology CurrentSince Nov 12, 2025 Accepting new patients
Diagnostic Imaging Associates Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Veeone Medical Group PA CurrentSince Jul 19, 2023 Accepting new patients
Inview Imaging Diagnostics Inc a Professional Medical Corporation Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Arch Health Partners CurrentSince Oct 1, 2023 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Jul 13, 2020 Accepting new patients
Lumina Imaging Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Guam X-Ray Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Feb 1, 2026 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Dec 1, 2023 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Dec 1, 2023 Accepting new patients
Arch Health Partners, Inc Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
The Metrohealth System Current Accepting new patients
Pahs Onpoint Imaging LLC Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
The Metrohealth System CurrentSince Jul 13, 2023 Accepting new patients
All-American Teleradiology LLC Diagnostic Radiology PastSince Apr 8, 2017 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

  • FHIR API: https://api.platform.athenahealth.com/9821/brand/7/csg/1/fhir/r4
  • Direct secure messaging: janderson242211@direct.metrohealth.org
  • Direct secure messaging: janderson30280@ehrdirect.uhhospitals.org
  • Direct secure messaging: 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.

View all 26

Hospital & facility affiliations 8

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

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

Verify at the official NPI Registry.