Individual provider Active NPI

Nicolaas Cornelius Anderson, D.O.

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Houston, TX
National Provider Identifier
1720368152
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
License
Q8201 Issued in TX
Practice address
7200 Cambridge St
Suite 9a
Houston, TX 77030-4202
Phone
(713) 798-2273
NPI assigned
Aug 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 Q8201 TX
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X Q8201 TX Primary

Addresses

Primary practice location

7200 Cambridge St
Suite 9a
Houston, TX 77030-4202

Mailing address

7200 Cambridge St
Suite 9a
Houston, TX 77030-4202

Other practice location 1

1515 Holcombe Blvd
Houston, TX 77030-4000
Phone (713) 792-6161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nanderson16952@bcm.ghhdirect.net

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
I20160613000680 TX Practitioner - Neurology 4981994431 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Oklahoma State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Referral ServiceGroup PAC ID 7911801410, 2,728 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1515 Holcombe Blvd
Houston, TX 77030-4000
Phone (713) 792-2121

2 Greenway PLZ
Suite 900
Houston, TX 77046-0205

6720 Bertner Ave
Houston, TX 77030-2604

6770 Bertner Ave
Suite C 350
Houston, TX 77030-2604
Phone (713) 798-1000

7200 Cambridge St
Houston, TX 77030-4202

Hospital & facility affiliations

  • Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193
  • Tirr Memorial Hermann Inpatient rehabilitation facility, Houston, TX, CCN 453025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jul 1, 2016 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2016 Accepting new patients
Texas Children'S Physician Group CurrentSince Nov 19, 2024 Accepting new patients
Physicians Referral Service CurrentSince Jan 22, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2016 Accepting new patients
Baylor College of Medicine Neurology CurrentSince Jul 1, 2016 Accepting new patients

Locations

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 9
Houston, TX 77030
Phone (713) 798-2273

1515 Holcombe Blvd
#M
Houston, TX 77030
Phone (713) 792-6127

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

7200 Cambridge St
Ste 9A
Houston, TX 77030
Phone (713) 798-2273

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Interoperability endpoints

  • Direct secure messaging: nanderson399605@utmdandersoncc.direct-ci.com

Organizations & group practices 6

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 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": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1720368152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CAMBRIDGE ST",
            "address_2": "SUITE 9A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CAMBRIDGE ST",
            "address_2": "SUITE 9A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304202",
            "telephone_number": "713-798-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304000",
            "country_code": "US",
            "telephone_number": "713-792-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NICOLAAS",
        "middle_name": "CORNELIUS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q8201",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "TX",
            "license": "Q8201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nanderson16952@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "7200 Cambridge St",
            "address_2": "Suite 9A",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770304202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.