Individual provider Active NPI

Richard Anderson, MD

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1689696122
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G3111 Issued in TX
Practice address
8230 Walnut Hill LN Ste 414
Dallas, TX 75231-4469
Phone
(214) 369-5432
Fax
(214) 369-5591
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G3111 TX Primary
Vascular Surgery Physician 2086S0129X G3111 TX

Addresses

Primary practice location

8230 Walnut Hill LN Ste 414
Dallas, TX 75231-4469

Mailing address

8230 Walnut Hill LN Ste 414
Dallas, TX 75231-4469
Phone (214) 369-5432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20081009000675 TX Practitioner - General SurgeryPractitioner - Vascular Surgery 8224042981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Texas Medical School at Houston, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

8230 Walnut Hill LN
Suite 320
Dallas, TX 75231-4481
Phone (214) 369-5432

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G3111TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Surgery CurrentSince May 1, 2016 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince May 1, 2016 Accepting new patients
Texas Health Physicians Group Past Accepting new patients
Austin & Reddick Dermatology, PLLC PastSince Jun 1, 2008 Accepting new patients

Locations

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

8230 Walnut Hill Ln
Ste 320
Dallas, TX 75231
Phone (214) 265-9991

8230 Walnut Hill Ln
Ste 414
Dallas, TX 75231
Phone (214) 200-3256

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: randerson2700@direct.texashealth.org
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00023

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 and National Provider Directory roles.

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1689696122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314469",
            "telephone_number": "214-369-5432",
            "fax_number": "214-369-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314469",
            "telephone_number": "214-369-5432",
            "fax_number": "214-369-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G3111",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "G3111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.