Active NPI
Samuel Dee Anderson, M.D.
- Anesthesiology Physician
- San Ramon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A98380
- Practice address
- 2420 Camino Ramon
Ste. 270
San Ramon, CA 94583-4385 - Phone
- (925) 543-0141
- Fax
- (925) 543-0145
- NPI assigned
- Apr 16, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A98380 | CA | |
| Anesthesiology Physician | 207L00000X | A98380 | CA | Primary |
| Anesthesiology Physician | 207L00000X | 232721 | MA | |
| Internal Medicine Physician | 207R00000X | 232721 | MA |
Addresses
Primary practice location
2420 Camino Ramon
Ste. 270
San Ramon, CA 94583-4385
Mailing address
PO Box 603484
Charlotte, NC 28260-3484
Phone (803) 765-1838
Other practice location 1
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, CO, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Southern California Keck School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1315 Roberts St
Camden, SC 29020-3737
Phone (803) 432-4311
506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290
Hospital & facility affiliations
- Kershawhealth
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A98380 | CA | MD | Anesthesiology Physician |
| 232721 | MA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St. Francis Xavier Hospital, Inc. | Internal Medicine | Current | Accepting new patients |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Internal Medicine | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Anesthesiology | Current | Accepting new patients |
| Bon Secours St. Francis Xavier Hospital, Inc. | Anesthesiology | Current | Accepting new patients |
Locations
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
Anesthesiology
-
- Maternal & Fetal Medicine Physician
- Charleston, SC
- NPI 1336546480
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1871035956
-
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
Internal Medicine
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Camden, SC
- NPI 1306416680
-
- General Acute Care Hospital
- Camden, SC
- NPI 1487220307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1770708554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603484",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603484",
"telephone_number": "803-765-1838",
"fax_number": "803-765-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 CAMINO RAMON",
"address_2": "STE. 270",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834385",
"telephone_number": "925-543-0141",
"fax_number": "925-543-0145"
}
],
"practiceLocations": [
{
"address_1": "2095 Henry Tecklenburg Dr",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145733",
"country_code": "US",
"telephone_number": "843-402-1436",
"fax_number": "843-402-1833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "SAMUEL",
"middle_name": "DEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A98380",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A98380",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "232721",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "232721",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.
- 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.