Active NPI
Peter Lloyd Anderson, MD
- Family Medicine Physician
- New Milford, CT
National Provider Identifier
1396715231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 025352
- Practice address
- 1 Old Park Lane
Suite 2
New Milford, CT 06776 - Phone
- (860) 355-3728
- Fax
- (860) 355-4253
- NPI assigned
- Jan 24, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 025352 | CT | |
| Specialist | 174400000X | 000613 | CT | |
| Family Medicine Physician | 207Q00000X | 025352 | CT | Primary |
Addresses
Primary practice location
1 Old Park Lane
Suite 2
New Milford, CT 06776
Mailing address
1 Old Park Lane
Suite 2
New Milford, CT 06776
Phone (860) 355-3728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001253525 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081021000442 | CT | Practitioner - Family Practice | 6800954751 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Connecticut School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nuvance Health Medical Practice CT Inc
Practice addresses (Care Compare)
1 Old Park Lane Rd
New Milford, CT 06776-2562
Phone (860) 355-3728
Hospital & facility affiliations
- Western Connecticut Home Care Inc
- Rvnahealth
- Elara Caring
- Danbury Hospital
- Candlewood Rehabilitation and Healthcare Center
- Village Crest Center for Health & Rehabilitation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000613 | CT | MD | Specialist |
| 025352 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice CT, Inc. | Family Medicine | Current | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
1 Old Park Lane Rd
Ste 2
New Milford, CT 06776
Phone (860) 355-3728
21 Elm St
New Milford, CT 06776
Phone (860) 210-5000
30 Park Ln E
New Milford, CT 06776
Phone (860) 355-0971
1 Old Park Lane Rd
New Milford, CT 06776
Phone (860) 355-2655
19 Poplar St
New Milford, CT 06776
Phone (860) 354-1277
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.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
CT, Family Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rocky Hill, CT
- NPI 1255333597
-
- Home Health Agency
- Ridgefield, CT
- NPI 1497758874
-
- Home Health Agency
- Danbury, CT
- NPI 1083677132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1396715231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OLD PARK LANE",
"address_2": "SUITE 2",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "06776",
"telephone_number": "860-355-3728",
"fax_number": "860-355-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 OLD PARK LANE",
"address_2": "SUITE 2",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "06776",
"telephone_number": "860-355-3728",
"fax_number": "860-355-4253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "PETER",
"middle_name": "LLOYD",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "025352",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "000613",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "025352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001253525",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.