DR. JESSE ANDERSON DPM NPI 1770583080

NPI Information

  • NPI: 1770583080
  • Provider Name: DR. JESSE ANDERSON, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2401 GODWIN BLVD STE 1
    SUFFOLK, VA
    ZIP 23434
  • Phone: (757) 625-2962

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NPI Details

DR. Jesse Anderson, DPM is a podiatrist in Suffolk, VA with 41 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Jesse Anderson, DPM NPI is 1770583080. 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:

2401 GODWIN BLVD STE 1
SUFFOLK, VA
ZIP 23434-178
Phone: (757) 625-2962
Fax: (757) 627-9861

The NPI 1770583080 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).

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.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Simple separation of fingernail or toenail from nail bed, each additional nail (HCPCS:11732)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Simple or single drainage of skin abscess (HCPCS:10060)

The enumeration date for this NPI number is 7/28/2005 and was last updated on 3/7/2023.

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
1213E00000XPodiatrist0103000709VIRGINIAYes

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
162841OTHERVIRGINIAOPTIMA
2282441OTHERVIRGINIAANTHEM
30103000709OTHERVIRGINIALIC

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: 3/30/2025

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