Individual provider Active NPI

Patrick R Anderson, M.D.

  • Internal Medicine Physician
  • Richmond, IN
National Provider Identifier
1508896960
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01036460A Issued in IN
Practice address
1471 Chester Blvd
Richmond, IN 47374-1945
Phone
(765) 935-4088
Fax
(765) 966-2596
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 13

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates Inc 427 clinicians

Practice addresses (Care Compare)

1380 Chester Blvd
Richmond, IN 47374-1907
Phone (765) 983-3300

Hospital & facility affiliations

  • Reid Health Hospital, Richmond, IN, CCN 150048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20090129000525 IN Practitioner - Internal Medicine 4688626989 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01036460AINMDInternal Medicine Physician
35.077693OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center CurrentSince Apr 1, 2023 Accepting new patients
Reid Physician Associates, Inc. Internal Medicine CurrentSince Sep 1, 2010 Accepting new patients
Neighborhood Health Center, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Reid Physician Associates, Inc CurrentSince Sep 1, 2010 Accepting new patients
Neighborhood Health Center, Inc. Current Accepting new patients
Pediatric & Internal Medicine Center Internal Medicine PastSince Feb 15, 2005 Accepting new patients
Reid Hospital & Health Care Services Inc Internal Medicine Past Accepting new patients

Locations

101 S 10th St
Richmond, IN 47374
Phone (765) 965-4299

1471 Chester Blvd
Richmond, IN 47374
Phone (317) 935-4088

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1380 Chester Blvd
Richmond, IN 47374
Phone (317) 962-9578

1434 Chester Blvd
Richmond, IN 47374
Phone (765) 966-1600

Interoperability endpoints

  • Direct secure messaging: panderson301894@reidhealth.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/21036/brand/1/csg/1/fhir/r4

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01036460A IN Primary
Internal Medicine Physician 207R00000X 35.077693 OH

Addresses

NPPES NPI Registry

Primary practice location

1471 Chester Blvd
Richmond, IN 47374-1945

Mailing address

1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 935-4088

Other identifiers 6

NPPES NPI Registry
IdentifierTypeStateIssuer
000000373591OtherINBLUESHIELD REIDHOSP-EKG
000000681393OtherANTHEM (RPA)
0686726MedicaidOH
100257060MedicaidIN
903830IOtherINMEDICARE REID EKG
100257060OtherINMEDICAID REID EKG

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address panderson301894@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 12, 2021.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1508896960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-4088",
            "fax_number": "765-966-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741945",
            "telephone_number": "765-935-4088",
            "fax_number": "765-966-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PATRICK",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01036460A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.077693",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD REIDHOSP-EKG",
            "identifier": "000000373591",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM (RPA)",
            "identifier": "000000681393",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0686726",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100257060",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE REID EKG",
            "identifier": "903830I",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID REID EKG",
            "identifier": "100257060",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "panderson301894@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1471 Chester Blvd",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.