Individual provider Active NPI

John Paul Anders, M.D.

  • Dermatology Physician
  • Toledo, OH
National Provider Identifier
1811932643
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35030944 Issued in OH
Practice address
4126 N Holland Sylvania Rd
Suite 200
Toledo, OH 43623-2504
Phone
(419) 473-3257
Fax
(419) 473-8816
NPI assigned
Jun 17, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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 35030944 OH Primary

Addresses

Primary practice location

4126 N Holland Sylvania Rd
Suite 200
Toledo, OH 43623-2504

Mailing address

4126 N Holland Sylvania Rd
Suite 200
Toledo, OH 43623-2504
Phone (419) 473-3257

Other identifiers 1

IdentifierTypeStateIssuer
2008400MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100907000270 OH Practitioner - Dermatology 6204818347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio State University College of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anders Dermatology IncorporatedGroup PAC ID 2163404294, 10 clinicians

Practice addresses (Care Compare)

4126 N Holland Sylvania Rd
Suite 200
Toledo, OH 43623-3537
Phone (419) 473-3257

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.01 of 100Reported as individual
Quality
76.03
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1559
Skin biopsy361

National Provider Directory

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1811932643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232504",
            "telephone_number": "419-473-3257",
            "fax_number": "419-473-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232504",
            "telephone_number": "419-473-3257",
            "fax_number": "419-473-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35030944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008400",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.