Active NPI
Robert Wesley Anderson III, MD
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L9071
- Practice address
- 8200 Walnut Hill LN
Dallas, TX 75231 - Phone
- (214) 345-6789
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-114316 | IL | |
| Internal Medicine Physician | 207R00000X | L9071 | TX | Primary |
Addresses
Primary practice location
8200 Walnut Hill LN
Dallas, TX 75231
Mailing address
4518 Gilbert Ave
Dallas, TX 75219-2121
Phone (773) 885-1665
Other practice location 1
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-8080
Other practice location 2
1775 Dempster St
Park Ridge, IL 60068
Phone (847) 723-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167864101 | Medicaid | IL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-114316 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Lonestar Hospital Medicine Associates, PA | Internal Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Internal Medicine | Current | Accepting new patients |
Locations
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
8200 Walnut Hill Ln
Ste 830
Dallas, TX 75231
Phone (214) 345-7999
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996
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.
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Internal Medicine
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Internal Medicine Physician
- Kaufman, TX
- NPI 1992151740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1740351048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4518 GILBERT AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752192121",
"telephone_number": "773-885-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 WALNUT HILL LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231",
"telephone_number": "214-345-6789"
}
],
"practiceLocations": [
{
"address_1": "1775 Dempster St",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "600681143",
"country_code": "US",
"telephone_number": "847-723-8080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1775 Dempster St",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "60068",
"country_code": "US",
"telephone_number": "847-723-8080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "ROBERT",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-114316",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L9071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167864101",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.