Individual provider Active NPI

Martha T Anderson, MD

  • Anesthesiology Physician
  • Charlotte, NC
National Provider Identifier
1497739445
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35829 Issued in NC
Practice address
200 Providence Rd
Suite 101
Charlotte, NC 28207-1468
Phone
(704) 749-5800
Fax
(704) 749-5819
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35829 NC Primary

Addresses

Primary practice location

200 Providence Rd
Suite 101
Charlotte, NC 28207-1468

Mailing address

200 Providence Rd
Suite 101
Charlotte, NC 28207-1437
Phone (704) 749-5800

Other identifiers 1

IdentifierTypeStateIssuer
8911248MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MD, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100315000576 NC Practitioner - Anesthesiology 2769444702 Reassigns benefits to 1 organization
I20210510001066 MD Practitioner - Anesthesiology 2769444702 Reassigns benefits to 4 organizations
I20210510001446 DC Practitioner - Anesthesiology 2769444702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Hahnemann University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mukul Khandelwal, PAGroup PAC ID 7416936620, 14 clinicians

Practice addresses (Care Compare)

8186 Lark Brown Rd
Suite 104
Elkridge, MD 21075-6437
Phone (410) 590-8920

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Outpatient Sedation LLC Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
Mukul Khandelwal, PA CurrentSince Oct 1, 2025 Accepting new patients
Providence Anesthesiology Associates, P.a. Anesthesiology CurrentSince Jul 15, 2011 Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology CurrentSince Apr 6, 2021 Accepting new patients
Zinder Anesthesia, LLC Anesthesiology CurrentSince Nov 5, 2023 Accepting new patients
Olney Endoscopy Center PastSince Jan 1, 2026 Accepting new patients
Salisbury Anesthesia and Pain Consultants, PA Anesthesiology Past Accepting new patients

Locations

1419 Forest Dr
Ste 105
Annapolis, MD 21403

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

8186 Lark Brown Rd
Ste 104
Elkridge, MD 21075
Phone (410) 590-8920

85 Kindred Way
Apt 201
Glen Burnie, MD 21061
Phone (410) 355-2244

3407 Olandwood Ct
Unit 103
Olney, MD 20832
Phone (301) 570-8671

8028 Ritchie Hwy
Pasadena, MD 21122
Phone (410) 553-2400

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810

200 Providence Rd
Ste 101
Charlotte, NC 28207

131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 7

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1497739445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PROVIDENCE RD",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071437",
            "telephone_number": "704-749-5800",
            "fax_number": "704-749-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROVIDENCE RD",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071468",
            "telephone_number": "704-749-5800",
            "fax_number": "704-749-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARTHA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "35829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911248",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.