DOUGLAS ANDERSON – Surgery Physician, NPI 1073756201

DOUGLAS ANDERSON is a healthcare provider. based in Birmingham, Alabama. specializing in GENERAL SURGERY. They hold a License No. 37011 (AL). The NPI Number for DOUGLAS ANDERSON is 1073756201

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS ANDERSON
NPI
1073756201
Phone
Not provided
Address
1717 6TH AVE S
Enumeration Date
17 April 2009
Last Update Date
30 June 2023

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2059344011
Graduation Year
2009 (17 years ago)
PAC ID
4486943198
Group Practice PAC ID
1951213107
Professional Enrollment ID
I20181114000869
Address ID
AL352491900BI619XXSXXX400

Contacts

Secure Messaging
douglasanderson@direct.uabmedicine.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

523 GENERAL SURGERY in AL

Provider Addresses for DOUGLAS ANDERSON

  • 1717 6TH AVE S

    BIRMINGHAM, AL 352331801

    Phone:

    Type: Mailing

  • 915 6th Ave S

    Birmingham, AL 352331107

    Phone: (205) 975-9200

    Type: Location

  • Cadbury, Bournville, Stirchley, Birmingham, West Midlands, England, B30 2LU, United Kingdom

    BIRMINGHAM, AL 352555310

    Phone: (205) 731-9701

    Type: Mailing

  • Kirklin Clinic, 2000, 6th Avenue South, Automotive Historic District, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352332110

    Phone: (205) 934-9999

    Fax: (404) 712-2999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-04-06 • Largest payer in this snapshot: Artivion, Inc. ($105).

Total Amount

$105

General + Research + Ownership

Payments

2

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Artivion, Inc.$105
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181114000869IGeneral SurgeryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16446$0
50360Transplantation of donor kidney2423$0
99236Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes2020$0
50323Preparation of donor kidney for transplantation1918$0
50205Biopsy of kidney1716$0
View full utilization report →

Insurance plans in this area (ZIP 35233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951213107View full group profile
NameSpecialtyState
N E P H R O L O G YTX
-AL
A N E S T H E S I O L O G YAL
E N D O C R I N O L O G YVA
Nurse PractitionerAL
-AL
Hospitalist, Internal MedicineAL
Clinical PsychologistAL
Nurse PractitionerAL
-AL

Reviews

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Frequently asked questions

Can I use this page to confirm DOUGLAS ANDERSON's NPI?
Yes. DOUGLAS ANDERSON is listed with NPI 1073756201 in the public NPI dataset.
Can I rely on DOUGLAS ANDERSON being an active provider?
As of the registry snapshot, DOUGLAS ANDERSON is marked active.
What healthcare role does DOUGLAS ANDERSON hold?
Scheduling teams often label DOUGLAS ANDERSON under Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DOUGLAS ANDERSON on a map?
Expect Birmingham, Alabama as a primary anchor for DOUGLAS ANDERSON unless the record lists multiple sites.
Why does DOUGLAS ANDERSON have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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