Individual provider Active NPI

Eric John Anderson, MD

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1619979028
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11566 Issued in NV
Practice address
3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone
(972) 915-3600
Fax
(972) 915-3636
NPI assigned
Aug 15, 2005
Last updated
Jul 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11566 NV Primary

Addresses

Primary practice location

3100 N Tenaya Way
Las Vegas, NV 89128-0436

Mailing address

9229 LBJ Fwy
Ste 250
Dallas, TX 75243-3405
Phone (800) 346-0747

Other identifiers 1

IdentifierTypeStateIssuer
100506966MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20050928000509 NV Practitioner - Emergency Medicine 0446201602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albany Medical College of Union University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 880-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.13 of 100Reported as individual
Quality
82.79
Improvement activities
40
Cost
76.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11566NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Sep 1, 2005 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine Current Accepting new patients
New Jersey/Pennsylvania Em-1 Medical Services, P.C. Emergency Medicine Past Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine Past Accepting new patients
Shikellamy Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9004

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

Organizations & group practices 5

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 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1619979028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 LBJ FWY",
            "address_2": "STE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433405",
            "telephone_number": "800-346-0747",
            "fax_number": "972-739-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280436",
            "telephone_number": "972-915-3600",
            "fax_number": "972-915-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "11566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506966",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.