Individual provider Active NPI

John Henry Anderson, M.D.

  • Dermatology Physician
  • New Braunfels, TX
National Provider Identifier
1760612410
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
P1158 Issued in TX
Practice address
901 Loop 337 # a
New Braunfels, TX 78130-3556
Phone
(830) 625-1786
Fax
(830) 606-7546
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X P1158 TX Primary

Addresses

Primary practice location

901 Loop 337 # a
New Braunfels, TX 78130-3556

Mailing address

901 Loop 337 # a
New Braunfels, TX 78130-3556
Phone (830) 625-1786

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
I20120514000706 TX Practitioner - Dermatology 7214190008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at Houston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

901 A Loop
Suite 337
New Braunfels, TX 78130-3556
Phone (830) 625-1786

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision217
Removal of skin lesions2499
Skin biopsy398

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P1158TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John H. Anderson, MD, P.a. Dermatology CurrentSince Sep 20, 2012 Accepting new patients

Locations

901 Loop 337
#A
New Braunfels, TX 78130
Phone (830) 625-1786

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1760612410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LOOP 337 # A",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303556",
            "telephone_number": "830-625-1786",
            "fax_number": "830-606-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LOOP 337 # A",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303556",
            "telephone_number": "830-625-1786",
            "fax_number": "830-606-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P1158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.