Individual provider Active NPI

Michael Anderson, M.D.

  • Dermatology Physician
  • Asheville, NC
National Provider Identifier
1780115857
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A173513 Issued in CA
Practice address
16 Medical Park Dr
Asheville, NC 28803-2493
Phone
(828) 274-4880
Fax
(828) 274-6868
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X A173513 CA
Internal Medicine Physician 207R00000X 226879 NC
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X 226879 NC
Dermatology Physician 207N00000X A173513 CA Primary

Addresses

Primary practice location

16 Medical Park Dr
Asheville, NC 28803-2493

Mailing address

16 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 274-4880

Other practice location 1

410 Market St Ste 400
Chapel Hill, NC 27516-4061
Phone (984) 974-3839

Other practice location 2

1301 20th St Ste 570
Santa Monica, CA 90404-2118
Phone (310) 315-0171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230814001921 NC Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 7517243470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Wake Forest University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology and Skin Surgery PAGroup PAC ID 9830115997, 14 clinicians

Practice addresses (Care Compare)

16 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 274-4880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision179
Removal of skin lesions74
Removal of skin cancer886
Removal or shaving of skin growth1-10
Skin biopsy52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173513CAMDMOHS-Micrographic Surgery Physician
226879NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology and Skin Surgery, PA Dermatology CurrentSince Aug 7, 2023 Accepting new patients
University of North Carolina at Chapel Hill Dermatology Past Accepting new patients

Locations

12 Medical Park Dr
Asheville, NC 28803
Phone (828) 274-4880

16 Medical Park Dr
Asheville, NC 28803
Phone (828) 254-0160

1363 7th Ave E
Hendersonvlle, NC 28792
Phone (828) 698-5757

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1780115857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MEDICAL PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032493",
            "telephone_number": "828-274-4880",
            "fax_number": "828-274-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MEDICAL PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032493",
            "telephone_number": "828-274-4880",
            "fax_number": "828-274-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Market St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275164061",
            "country_code": "US",
            "telephone_number": "984-974-3839",
            "fax_number": "984-974-3692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 20th St Ste 570",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042118",
            "country_code": "US",
            "telephone_number": "310-315-0171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A173513",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "226879",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "226879",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A173513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.