Active NPI
Ian Xavier Anderson, CRNA
- Certified Registered Nurse Anesthetist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11017281
- Practice address
- 11750 SW 40TH St
Miami, FL 33175-3530 - Phone
- (305) 223-3000
- NPI assigned
- Jan 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11017281 | FL | Primary |
Addresses
Primary practice location
11750 SW 40TH St
Miami, FL 33175-3530
Mailing address
9721 169TH CT N
Jupiter, FL 33478-4843
Phone (212) 470-9482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 225-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.62 of 100
- Quality
- 71.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11017281 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redding Anesthesia Associates LP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Orthopedic Associates of Northern California a Medical Group | Current | Accepting new patients | |
| Premier Anesthesia of Oregon PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Past | Accepting new patients |
Locations
131 Raley Blvd
Chico, CA 95928
Phone (530) 897-4500
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1825 Sonoma St
Redding, CA 96001
Phone (530) 243-8667
2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247
2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400
2179 Court St
Redding, CA 96001
Phone (530) 246-7000
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
Interoperability endpoints
- https://api.platform.athenahealth.com/5678/brand/1/csg/1/fhir/r4
- ian.anderson.1@5678.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Orthopaedic Surgery Physician
- Chico, CA
- NPI 1235108077
-
- Anesthesiology Physician
- Newberg, OR
- NPI 1154010429
-
- Certified Registered Nurse Anesthetist
- Redding, CA
- NPI 1386001139
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Redding, CA
- NPI 1013561851
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Fremont, CA
- NPI 1982009759
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1710648332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9721 169TH CT N",
"city": "JUPITER",
"state": "FL",
"postal_code": "334784843",
"telephone_number": "212-470-9482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753530",
"telephone_number": "305-223-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "IAN",
"middle_name": "XAVIER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-05",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11017281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.