Alyce Anderson, MD, PHD

Key facts

NPI

1770143992

Entity type

Individual (NPI type 1)

Primary specialty

Dermatopathology Physician 207ND0900X

License

77975 (MN)

Practice address

909 Fulton St SE
Minneapolis, MN 55455-4800

Phone

(612) 273-8383

NPI assigned

Jun 19, 2019

Sex

Female

Sole proprietor

No

Organizations & group practices 21

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.

• Fairview Express Care Multi-Specialty Clinic/Center · Minneapolis, MN · NPI 1053952606
  Medicare reassignment Care Compare group NPD MN
• Healtheast Medical Research Institute Clinic/Center · Vadnais Heights, MN · NPI 1639125503
  Medicare reassignment Care Compare group NPD MN
• University of Minnesota Health Clinics and Surgery Center, Inc. Clinic/Center · Minneapolis, MN · NPI 1053795187
  Medicare reassignment Care Compare group NPD MN
• University of Minnesota Physicians Multi-Specialty Clinic/Center · Minneapolis, MN · NPI 1477598118
  Medicare reassignment NPD MN
• Fairview Express Care General Practice Physician · Edina, MN · NPI 1831707207
  Care Compare group NPD
• Healtheast Medical Research Institute Internal Medicine Physician · Saint Paul, MN · NPI 1508191552
  Care Compare group NPD
• Fairview Express Care Cardiovascular Disease Physician · Minneapolis, MN · NPI 1629224258
  Care Compare group
• Fairview Express Care Eyewear Supplier · Eagan, MN · NPI 1750833562
  Care Compare group
• Fairview Express Care Eyewear Supplier · Brooklyn Park, MN · NPI 1841472644
  Care Compare group
• Fairview Express Care Eyewear Supplier · Andover, MN · NPI 1861674665
  Care Compare group
• Fairview Express Care Eyewear Supplier · Fridley, MN · NPI 1942482740
  Care Compare group
• University of Minnesota Health Clinics and Surgery Center, Inc. Mammography Clinic/Center · Minneapolis, MN · NPI 1275917312
  Care Compare group
• University of Minnesota Health Clinics and Surgery Center, Inc. Ambulatory Surgical Clinic/Center · Minneapolis, MN · NPI 1639553779
  Care Compare group
• University of Minnesota Health Clinics and Surgery Center, Inc. Clinical Medical Laboratory · Minneapolis, MN · NPI 1720462864
  Care Compare group
• Fairview Express Care Clinic/Center · Hudson, WI · NPI 1467159210
  Care Compare group
• Fairview Express Care Multi-Specialty Clinic/Center · Burnsville, MN · NPI 1083806772
  NPD
• Healtheast Medical Research Insititue Clinic/Center · Saint Paul, MN · NPI 1669119970
  NPD
• University of Minnesota Health Clinics and Surgery Center Inc Anesthesiology Physician · Minneapolis, MN · NPI 1003485004
  NPD
• University of Minnesota Physicians Primary Care Clinic/Center · Minneapolis, MN · NPI 1366589962
  NPD
• University of Minnesota Physicians Dental Clinic/Center · Minneapolis, MN · NPI 1952546061
  NPD
• Fairview Health Services General Acute Care Hospital · Minneapolis, MN · NPI 1013994359
  NPD (past)

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fairview Health Services General Acute Care Hospital · Minneapolis, MN · NPI 1013994359
  Care Compare affiliation Hospital
• Fairview Health Services General Acute Care Hospital · Minneapolis, MN · NPI 1316008212
  Care Compare affiliation Hospital
• Fairview Health Services Skilled Nursing Facility · Minneapolis, MN · NPI 1669459913
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Dermatology

Education

University of Pittsburgh School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healtheast Medical Research Institute (665 clinicians)
Fairview Express Care (1,946 clinicians)
University of Minnesota Health Clinics and Surgery Center Inc (612 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• M Health Fairview University of MN Medical Center Hospital · Minneapolis, MN · CCN 240080

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aanderson1823126@fairview.direct-ci.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 7, 2025.

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1770143992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FULTON ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554554800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 FULTON ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554554800",
            "telephone_number": "612-273-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALYCE",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "77975",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT218362",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MN",
            "license": "77975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

• Abigail Marie Anderson, OTD, OTR/L
• Aleeha Anderson
• Alexander Anderson
• Alia Anderson, LICSW
• Allison Lyn Anderson, MA
• Amanda Anderson, MA, LADC, LPCC
• Amy Anderson
• Amy Anderson
• Amy Kathleen Anderson, OTR/L
• Arissa Anderson, RD, LD

All providers in Minneapolis, MN · Dermatopathology Physician in Minnesota