Individual provider Active NPI

Lloyd Roderick Anderson, M.D.

  • Neurology Physician
  • Tucson, AZ
National Provider Identifier
1467432237
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
24490 Issued in AZ
Practice address
6567 E Carondelet Dr Ste 305
Tucson, AZ 85710-2156
Phone
(520) 881-8400
Fax
(520) 881-6563
NPI assigned
Jan 18, 2006
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 24490 AZ Primary

Addresses

Primary practice location

6567 E Carondelet Dr Ste 305
Tucson, AZ 85710-2156

Mailing address

6567 E Carondelet Dr Ste 305
Tucson, AZ 85710-2156
Phone (520) 881-8400

Other identifiers 1

IdentifierTypeStateIssuer
406084MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051101001034 AZ Practitioner - Neurology 0446277149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Arizona College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

395 N Silverbell Rd
Suite 355
Tucson, AZ 85745-2981
Phone (520) 622-5912

400 W Camino Casa Verde
Suite 100
Green Valley, AZ 85614-3569
Phone (520) 625-1760

551 W Magee Rd
Tucson, AZ 85704-6439
Phone (520) 498-6467

6565 E Carondelet Dr
Suite 155
Tucson, AZ 85710-3587
Phone (520) 849-8900

6567 E Carondelet Dr
Suite 225
Tucson, AZ 85710-6154
Phone (520) 886-3432

6567 E Carondelet Dr
Suite 305
Tucson, AZ 85710-6160
Phone (520) 881-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24490AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC CurrentSince Nov 12, 2018 Accepting new patients
Carondelet Medical Group, Inc Past Accepting new patients
Carondelet Specialist Group, Inc Past Accepting new patients

Locations

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

551 W Magee Rd
Tucson, AZ 85704
Phone (520) 498-6467

6567 E Carondelet Dr
Ste 225
Tucson, AZ 85710
Phone (520) 886-3432

6567 E Carondelet Dr
Ste 305
Tucson, AZ 85710
Phone (520) 881-8400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1467432237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102156",
            "telephone_number": "520-881-8400",
            "fax_number": "520-881-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102156",
            "telephone_number": "520-881-8400",
            "fax_number": "520-881-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LLOYD",
        "middle_name": "RODERICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "24490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406084",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.