KEVIN ANDERSON M.D. NPI 1942202916

NPI Information

  • NPI: 1942202916
  • Provider Name: KEVIN ANDERSON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 827 E DIVISION ST
    CADILLAC, MI
    ZIP 49601
  • Phone: (231) 775-9741

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NPI Details

Kevin Anderson, M.D. is a family medicine in Cadillac, MI with 29 years of experience. 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. Kevin Anderson, M.D. NPI is 1942202916. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

827 E DIVISION ST
CADILLAC, MI
ZIP 49601-015
Phone: (231) 775-9741
Fax: (231) 775-9333

The NPI 1942202916 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, 30-39 minutes (HCPCS:99214)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 8/10/2005 and was last updated on 12/1/2016.

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
1207Q00000XFamily MedicineKA075594MICHIGANYes

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
10H36303OTHERMICHIGANBLUE CROSS/SHIELD GROUP
2127350OTHERMICHIGANPREFERRED CHOICE
30H36303006MEDICARE PINMICHIGAN
41942202916OTHERMICHIGANRAILROAD MEDICARE
50808300492OTHERMICHIGANBLUE CROSS/SHIELD INDIVIU
64501451MEDICAIDMICHIGAN
7H07312MEDICARE UPINMICHIGAN
84501451-10MEDICAIDMICHIGAN
94217007MEDICAIDMICHIGAN

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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