Active NPI
Patrick R Anderson, M.D.
- Internal Medicine Physician
- Richmond, IN
On this page
- Key facts
- Organizations & group practices13
- Hospital & facility affiliations1
- Care Compare profile
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers6
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Richmond, IN
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01036460A
- 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.
-
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
- Federally Qualified Health Center (FQHC)
- Richmond, IN
- NPI 1679086888
-
- Radiology Clinic/Center
- Winchester, IN
- NPI 1417653221
-
- Clinical Medical Laboratory
- Connersville, IN
- NPI 1194207316
-
- Radiology Clinic/Center
- Cambridge City, IN
- NPI 1689286973
-
- Radiology Clinic/Center
- Brookville, IN
- NPI 1669171195
-
- Clinical Medical Laboratory
- Richmond, IN
- NPI 1932520921
-
- Clinical Medical Laboratory
- Winchester, IN
- NPI 1962108787
-
- Rural Health Clinic/Center
- Cambridge City, IN
- NPI 1154324630
-
- Federally Qualified Health Center (FQHC)
- Connersville, IN
- NPI 1538894514
-
- Federally Qualified Health Center (FQHC)
- Liberty, IN
- NPI 1578116729
-
- Internal Medicine Physician
- Richmond, IN
- NPI 1386674513
NPD (past) INTERNAL MEDICINE -
- Internal Medicine Physician
- Richmond, IN
- NPI 1982633236
NPD (past) INTERNAL MEDICINE
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, IN
- NPI 1063457380
Care Compare affiliation Hospital
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
Practice addresses (Care Compare)
1380 Chester Blvd
Richmond, IN 47374-1907
Phone (765) 983-3300
Hospital & facility affiliations
- Reid Health
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01036460A | IN | MD | Internal Medicine Physician |
| 35.077693 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health Center | Current | Accepting new patients | |
| Reid Physician Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Neighborhood Health Center, Inc. | Current | Accepting new patients | |
| Reid Physician Associates, Inc | Current | Accepting new patients | |
| Neighborhood Health Center, Inc. | Current | Accepting new patients | |
| Pediatric & Internal Medicine Center | Internal Medicine | Past | 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
- panderson301894@reidhealth.direct-ci.com
- https://api.platform.athenahealth.com/21036/brand/1/csg/1/fhir/r4
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01036460A | IN | Primary |
| Internal Medicine Physician | 207R00000X | 35.077693 | OH |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000373591 | Other | IN | BLUESHIELD REIDHOSP-EKG |
| 000000681393 | Other | ANTHEM (RPA) | |
| 0686726 | Medicaid | OH | |
| 100257060 | Medicaid | IN | |
| 903830I | Other | IN | MEDICARE REID EKG |
| 100257060 | Other | IN | MEDICAID REID EKG |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.