DR. JOHN ERICK ANDERSON (D.O.) – Internal Medicine Physician, NPI 1174937072

DR. JOHN ERICK ANDERSON (D.O.) is a healthcare provider. based in Chicago, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials D.O.. They hold a License No. DOS-2201 (HI). The NPI Number for DR. JOHN ERICK ANDERSON (D.O.) is 1174937072

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN ERICK ANDERSON (D.O.)
NPI
1174937072
Phone
(312) 942-5000
Address
1653 W CONGRESS PKWY
Enumeration Date
18 June 2014
Last Update Date
23 January 2025

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF OSTEOPATHY
Secondary Phone
6157737237
Graduation Year
2014 (12 years ago)
PAC ID
5698045375
Group Practice PAC ID
5698743706
Professional Enrollment ID
I20250618003136
Address ID
TN371228498MO5002XCIRC301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:11State licenses:8Digital endpointsOther names

988 DIAGNOSTIC RADIOLOGY in AZ

Provider Addresses for DR. JOHN ERICK ANDERSON (D.O.)

  • 1653 W CONGRESS PKWY

    CHICAGO, IL 606123833

    Phone: (312) 942-5000

    Type: Mailing

  • 350 W THOMAS RD

    PHOENIX, AZ 850134409

    Phone: (602) 406-4786

    Type: Location

  • 4250 Hospital Dr

    Marianna, FL 324461917

    Phone: (850) 526-2200

    Fax: (850) 718-2844

    Type: Location

  • 10800 E GEDDES AVE STE 300

    ENGLEWOOD, CO 801123895

    Phone: (303) 761-9190

    Fax: (720) 874-4462

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 9 Medicare enrollment records; no due dates published yet.

Enrollment records

9

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
I20200317002646IDiagnostic RadiologyAZTBD
I20210622001077IDiagnostic RadiologyCOTBD
I20220623000108IDiagnostic RadiologyHITBD
I20241122003850IDiagnostic RadiologyNCTBD
I20250102001877IDiagnostic RadiologyTXTBD
I20250212002860IDiagnostic RadiologyNDTBD
I20250605002191IDiagnostic RadiologyALTBD
I20250618003136IDiagnostic RadiologyTNTBD
I20250724001414IDiagnostic RadiologyFLTBD

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
A9585Injection, gadobutrol, 0.1 ml1,80523$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,33515$0
A9576Injection, gadoteridol, (prohance multipack), per ml1,24178$0
70450Ct scan head or brain without contrast834808$0
72125Ct scan of upper spine without contrast339335$0
View full utilization report →

Insurance plans in this area (ZIP 60612)

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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: 5698743706View full group profile
NameSpecialtyState
-TN
Diagnostic RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyFL
Diagnostic RadiologyTN
Diagnostic RadiologyVA
Diagnostic RadiologyTN
-TN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JOHN ERICK ANDERSON (D.O.)'s NPI?
Yes. DR. JOHN ERICK ANDERSON (D.O.) is listed with NPI 1174937072 in the public NPI dataset.
Does the file indicate DR. JOHN ERICK ANDERSON (D.O.) is practicing under active NPI?
Directory data currently reports DR. JOHN ERICK ANDERSON (D.O.) as active.
What is DR. JOHN ERICK ANDERSON (D.O.)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. JOHN ERICK ANDERSON (D.O.) here. Clinical services aligned with this taxonomy classification.
Where is DR. JOHN ERICK ANDERSON (D.O.) based?
DR. JOHN ERICK ANDERSON (D.O.) is tied to Chicago, Illinois in the data we show; additional addresses may exist on the full record.
Why does DR. JOHN ERICK ANDERSON (D.O.) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.