JOHN RYAN ANDERSON M.D. NPI 1689653750

NPI Information

  • NPI: 1689653750
  • Provider Name: JOHN RYAN ANDERSON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 12101 CAROL LN
    FREDERICKSBURG, VA
    ZIP 22407
  • Phone: (540) 786-7810

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NPI Details

John Ryan Anderson, M.D. is a family medicine in Fredericksburg, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John Ryan Anderson, M.D. NPI is 1689653750. 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:

12101 CAROL LN
FREDERICKSBURG, VA
ZIP 22407-101
Phone: (540) 786-7810
Fax: (540) 786-3099

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, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)

The enumeration date for this NPI number is 1/17/2006 and was last updated on 3/21/2012.

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
1207Q00000XFamily Medicine0101040122VIRGINIAYes

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
10897726OTHERVIRGINIAAETNA HMO
2B08472MEDICARE UPIN
3005654432MEDICAIDVIRGINIA
4000090765OTHERVIRGINIAAETNA CAP
582934OTHERVIRGINIAMAMSI
6080013655MEDICARE PINVIRGINIA
70101040122OTHERVIRGINIALICENSE
8175034OTHERVIRGINIAANTHEM
94091285OTHERVIRGINIAAETNA NON HMO
10CA9037OTHERVIRGINIAMCR RAILROAD GROUP
11C02375OTHERVIRGINIAMEDICARE GROUP
12080002116MEDICARE PINVIRGINIA

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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