Individual provider Active NPI

Terrence Damon Anderson, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Sugar Land, TX
National Provider Identifier
1861539454
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
Q5965 Issued in TX
Practice address
15200 Southwest Fwy Ste 350
Sugar Land, TX 77478-3880
Phone
(713) 714-1256
Fax
(727) 781-3312
NPI assigned
Jan 31, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Q5965 TX
Pediatric Orthopaedic Surgery Physician 207XP3100X Q5965 TX Primary

Addresses

Primary practice location

15200 Southwest Fwy Ste 350
Sugar Land, TX 77478-3880

Mailing address

15200 Southwest Fwy Ste 350
Sugar Land, TX 77478-3880
Phone (713) 714-1256

Other practice location 1

462 S Mason Rd Ste 100
Katy, TX 77450-2454
Phone (713) 486-1600

Other identifiers 1

IdentifierTypeStateIssuer
Q5965OtherTXTEXAS MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160630001867 TX Practitioner - Orthopedic Surgery 9436344017 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5965TXMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Houston Orthopaedic Surgery CurrentSince Sep 1, 2019 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

462 S Mason Rd
Ste 100
Katy, TX 77450
Phone (281) 587-1141

14861 Southwest Fwy
Ste C302
Sugar Land, TX 77478
Phone (281) 340-1234

15200 Southwest Fwy
Ste 350
Sugar Land, TX 77478
Phone (713) 366-7831

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIFIBD/Endpoint/EIFIBD
  • Direct secure messaging: terrence.anderson.1@13131.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861539454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 350",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783880",
            "telephone_number": "713-714-1256",
            "fax_number": "727-781-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 350",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783880",
            "telephone_number": "713-714-1256",
            "fax_number": "727-781-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 S Mason Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774502454",
            "country_code": "US",
            "telephone_number": "713-486-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TERRENCE",
        "middle_name": "DAMON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-07-21",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "Q5965",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "Q5965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "Q5965",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.