Individual provider Active NPI

James S Anderson, MD

  • Neurological Surgery Physician
  • Cleveland, OH
National Provider Identifier
1922115385
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35063128 Issued in OH
Practice address
6701 Rockside Rd Ste 350
Cleveland, OH 44131-2351
Phone
(216) 369-2830
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35063128 OH Primary

Addresses

Primary practice location

6701 Rockside Rd Ste 350
Cleveland, OH 44131-2351

Mailing address

PO Box 932127
Cleveland, OH 44193-0008
Phone (216) 369-2830

Other practice location 1

2322 E 22nd St Ste 201
Cleveland, OH 44115-3100
Phone (216) 369-2830

Other identifiers 1

IdentifierTypeStateIssuer
0855696MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address directrockside@cleveland.ipsmso.com Outreach Professional Services Inc
Direct Messaging Address directrockside@cleveland.ipsmso.com Outreach Professional Services Inc

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
I20100303000380 OH Practitioner - Neurosurgery 1951446830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35063128OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Neurological Surgery CurrentSince Jan 1, 2023 Accepting new patients
Outreach Professional Services Inc CurrentSince Aug 20, 2014 Accepting new patients
Outreach Professional Services, Inc CurrentSince Aug 20, 2014 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

2322 E 22nd St
Ste 201
Cleveland, OH 44115
Phone (216) 241-8654

11100 Euclid Ave
Cleveland Heights, OH 44106

6701 Rockside Rd
Ste 350
Independence, OH 44131
Phone (216) 369-2830

Interoperability endpoints

  • Direct secure messaging: janderson87018@ehrdirect.uhhospitals.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1922115385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932127",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "216-369-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD STE 350",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441312351",
            "telephone_number": "216-369-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2322 E 22nd St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441153100",
            "country_code": "US",
            "telephone_number": "216-369-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMES",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35063128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0855696",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directrockside@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "2322 E 22nd St Ste 201",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directrockside@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "6701 Rockside Rd Ste 350",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441312351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.