NPIMap

Individual provider Active NPI

Elliott J Anderson, MD

  • Internal Medicine Physician
  • North Dartmouth, MA
National Provider Identifier
1750358164
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
224781 Issued in MA
Practice address
535 Faunce Corner Rd
North Dartmouth, MA 02747-1242
Phone
(508) 961-0710
NPI assigned
Mar 3, 2006
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 224781 MA Primary

Addresses

Primary practice location

535 Faunce Corner Rd
North Dartmouth, MA 02747-1242

Mailing address

537 Faunce Corner Road
North Dartmouth, MA 02747-2612
Phone (508) 961-0710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050812000375 MA Practitioner - Internal MedicinePractitioner - Hematology/OncologyPractitioner - Medical Oncology 1951331644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Medical Oncology
Education
Albany Medical College of Union University, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

795 Middle St
Fall River, MA 02721-1733
Phone 50867456002000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224781MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan of Massachusetts - Fall River Inc CurrentSince Nov 8, 2024 Accepting new patients
Lifespan Physician Group of Massachusetts Inc Internal Medicine CurrentSince Nov 18, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 14, 2013 Accepting new patients
Lifespan Corporation Current Accepting new patients
Steward Medical Group, Inc Internal Medicine CurrentSince Oct 14, 2013 Accepting new patients
Lifespan of Massachusetts - Fall River Inc CurrentSince Nov 8, 2024 Accepting new patients
Saint Annes Hospital Internal Medicine Past Accepting new patients

Locations

2991 Cranberry Hwy
#2F
East Wareham, MA 02538

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

237 State Rd
#A
North Dartmouth, MA 02747
Phone (413) 263-1027

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0606

537 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 672-0545

Interoperability endpoints

  • Direct secure messaging: eanderson235738@brownhealth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1750358164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 FAUNCE CORNER ROAD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027472612",
            "telephone_number": "508-961-0710",
            "fax_number": "508-991-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FAUNCE CORNER RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-961-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ELLIOTT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "224781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.