Individual provider Active NPI

Naima Kai Jihad Anderson, DO

  • Family Medicine Physician
  • Deerfield Beach, FL
National Provider Identifier
1386149060
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS17913 Issued in FL
Practice address
1827 W Hillsboro Blvd
Deerfield Beach, FL 33442-1442
Phone
(954) 800-4054
Fax
(954) 654-7732
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS17913 FL Primary

Addresses

Primary practice location

1827 W Hillsboro Blvd
Deerfield Beach, FL 33442-1442

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (954) 800-4054

Other practice location 1

2195 Harrodsburg Rd
Lexington, KY 40504-3504
Phone (859) 323-6712

Other practice location 2

6037 Kimberly Blvd
North Lauderdale, FL 33068-2811
Phone (954) 379-8994

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701000926 FL Practitioner - Family Practice 9335477405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1827 W Hillsboro Blvd
Deerfield Beach, FL 33442-1442
Phone (954) 800-4054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Interoperability endpoints

  • Direct secure messaging: njihadanderson16809@ukhcdirect.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1386149060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "954-800-4054",
            "fax_number": "954-654-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421442",
            "telephone_number": "954-800-4054",
            "fax_number": "954-654-7732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2195 Harrodsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043504",
            "country_code": "US",
            "telephone_number": "859-323-6712",
            "fax_number": "859-257-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6037 Kimberly Blvd",
            "address_purpose": "LOCATION",
            "city": "North Lauderdale",
            "state": "FL",
            "postal_code": "330682811",
            "country_code": "US",
            "telephone_number": "954-379-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIHAD ANDERSON",
        "first_name": "NAIMA",
        "middle_name": "KAI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS17913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.