Organization Active NPI

Anderson Medical Services PC

  • Geriatric Medicine (Family Medicine) Physician
  • Southfield, MI
National Provider Identifier
1508225509
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
ANDERSON MEDICAL SERVICES PC
Practice address
29255 Northwestern Hwy Ste 201
Southfield, MI 48034-5741
Phone
(947) 282-8380
Fax
(947) 282-8378
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Dr. Arletha Lenise Anderson, MDNPI 1568561959
Title
MD
Phone
(947) 282-8380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

29255 Northwestern Hwy Ste 201
Southfield, MI 48034-5741

Mailing address

29255 Northwestern Hwy Ste 201
Southfield, MI 48034-5741
Phone (947) 282-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160415000556 MI Part B Supplier - Clinic/Group Practice 5597063115 Receives reassigned benefits from 1 practitioner
Practice locations: Southfield, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2023174Anderson Medical Services P C29255 Northwestern Hwy Suite 201, Southfield, MI 48034RegistrationJul 14, 2027

National Provider Directory

National Provider Directory

Locations

29255 Northwestern Hwy
Ste 105
Southfield, MI 48034
Phone (248) 304-7781

22255 Greenfield Rd
Ste 490
Southfield, MI 48075

29255 Northwestern Hwy
Ste 201
Southfield, MI 48034
Phone (248) 945-0000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1508225509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29255 NORTHWESTERN HWY STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345741",
            "telephone_number": "947-282-8380",
            "fax_number": "947-282-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29255 NORTHWESTERN HWY STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345741",
            "telephone_number": "947-282-8380",
            "fax_number": "947-282-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ARLETHA",
        "authorized_official_middle_name": "LENISE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "947-282-8380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.