Individual provider Active NPI

Andrea H. An, MD

  • Neurology Physician
  • Chandler, AZ
National Provider Identifier
1609826510
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
42372 Issued in AZ
Practice address
2201 W Fairview St
Suite 1
Chandler, AZ 85224-5668
Phone
(480) 800-4890
Fax
(480) 427-4766
NPI assigned
May 11, 2006
Last updated
Jul 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 42372 AZ Primary
Neurology Physician 2084N0400X M1470 TX

Addresses

Primary practice location

2201 W Fairview St
Suite 1
Chandler, AZ 85224-5668

Mailing address

2201 W Fairview St
Suite 1
Chandler, AZ 85224-5668
Phone (480) 389-2798

Other identifiers 3

IdentifierTypeStateIssuer
P01540459OtherAZRAILROAD MEDICARE
Z180884OtherAZMEDICARE
498794MedicaidAZ

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
I20100528000270 AZ Practitioner - Neurology 4284637281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Associates of the East Valley PLCGroup PAC ID 1850607151, 12 clinicians

Practice addresses (Care Compare)

2201 W Fairview St
Suite 1
Chandler, AZ 85224-4712
Phone (480) 800-4890

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.57 of 100Reported as individual
Quality
35.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42372AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of the East Valley, PLC Neurology CurrentSince Aug 17, 2015 Accepting new patients

Locations

301 E Cottonwood Ln
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1400

2201 W Fairview St
Ste 1
Chandler, AZ 85224
Phone (480) 389-2798

3308 N Higley Rd
Ste 103
Mesa, AZ 85215
Phone (480) 712-8865

Interoperability endpoints

  • Direct secure messaging: andrea.an.1@30730.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1609826510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245668",
            "telephone_number": "480-389-2798",
            "fax_number": "480-427-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245668",
            "telephone_number": "480-800-4890",
            "fax_number": "480-427-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "ANDREA",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "42372",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M1470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01540459",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z180884",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498794",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.