Active NPI
Alec M Anders MD PA
- Family Medicine Physician
- Rockville, MD
National Provider Identifier
1760840508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D48200
- Legal business name
- ALEC M ANDERS MD PA
- Practice address
- 9715 Medical Center Dr
321
Rockville, MD 20850-3320 - Phone
- (301) 802-3926
- NPI assigned
- Feb 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alec M Anders, MD
- Title
- Owner/Physician
- Phone
- (301) 802-3926
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D48200 | MD | Primary |
Addresses
Primary practice location
9715 Medical Center Dr
321
Rockville, MD 20850-3320
Mailing address
9715 Medical Center Dr
321
Rockville, MD 20850-3320
Phone (301) 802-3926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160516002249 | DC | Part B Supplier - Clinic/Group Practice | 4284923160 |
Receives reassigned benefits from 1 practitioner Practice locations: Rockville, MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2131644 | Alec M Anders MD PA | Certificate of waiver | Jun 4, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/13519/brand/1/csg/1/fhir/r4
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454889600000",
"number": "1760840508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9715 MEDICAL CENTER DR",
"address_2": "321",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503320",
"telephone_number": "301-802-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9715 MEDICAL CENTER DR",
"address_2": "321",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503320",
"telephone_number": "301-802-3926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEC M ANDERS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A",
"authorized_official_last_name": "ANDERS",
"authorized_official_first_name": "ALEC",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "301-802-3926",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MD",
"license": "D48200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.