DR. ANDERS MELLGREN MD NPI 1053320671

NPI Information

NPI: 1053320671
Provider Name: DR. ANDERS MELLGREN, MD
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1801 W TAYLOR ST
3F OCC
CHICAGO, IL
ZIP 60612
Phone: (312) 355-4300

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NPI Details

DR. Anders Mellgren, MD is a colon rectal surgery in Chicago, IL. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. DR. Anders Mellgren, MD NPI is 1053320671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1801 W TAYLOR ST
3F OCC
CHICAGO, IL
ZIP 60612-795
Phone: (312) 355-4300
Fax: (312) 413-1206

The NPI 1053320671 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
Study of rectum sensitivity and function (HCPCS:91122)
Test for tone and sensation of rectum and anus (HCPCS:91120)
Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
3d radiographic procedure (HCPCS:76376)
Colonoscopy (HCPCS:NAN13)

The enumeration date for this NPI number is 8/5/2006 and was last updated on 7/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208C00000X	Colon & Rectal Surgery		45364	MINNESOTA	No
2	208C00000X	Colon & Rectal Surgery		036.133002	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	H83983	MEDICARE UPIN	MINNESOTA
2	1053320671	MEDICARE PIN	ILLINOIS
3	036.133002	MEDICAID	ILLINOIS
4	764487600	MEDICAID	MINNESOTA
5	H83983	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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