DR. DAVID R ANDERSON MD NPI 1366491664

NPI Information

  • NPI: 1366491664
  • Provider Name: DR. DAVID R ANDERSON, MD
  • Classification: Radiology - 2085U0001X
  • Specialization: Diagnostic Ultrasound
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3520 FOREST RD FL 3
    LANSING, MI
    ZIP 48910
  • Phone: (517) 975-6425

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NPI Details

DR. David R Anderson, MD is a diagnostic ultrasound radiology in Lansing, MI with 31 years of experience. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. DR. David R Anderson, MD NPI is 1366491664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:1995

The provider's business location address is:

3520 FOREST RD FL 3
LANSING, MI
ZIP 48910-720
Phone: (517) 975-6425
Fax: (517) 975-6430

The NPI 1366491664 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.

  • Screening mammography (HCPCS:77067)

The enumeration date for this NPI number is 5/6/2006 and was last updated on 6/27/2023.

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
12085U0001XRadiologyDiagnostic Ultrasound4301076201MICHIGANYes

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 Other Provider Identifier Issuer
11366491664MEDICAIDMICHIGAN
24637502MEDICAIDMICHIGAN

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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