DOUGLAS ANDERSON (MD) – Neurological Surgery Physician, NPI 1386621258

DOUGLAS ANDERSON (MD) is a healthcare provider. based in Maywood, Illinois. specializing in Neurological Surgery Physician. They hold the professional credentials MD. They hold a License No. 36057858 (IL). The NPI Number for DOUGLAS ANDERSON (MD) is 1386621258

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS ANDERSON (MD)
NPI
1386621258
Phone
(708) 216-9000
Address
2160 S FIRST AVE
Enumeration Date
30 December 2005
Last Update Date
23 July 2009

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
-
Graduation Year
1977 (49 years ago)
PAC ID
2264463827
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20050824000477
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DOUGLAS ANDERSON (MD)

  • 2160 S FIRST AVE

    MAGUIRE CENTER, RM 1900

    MAYWOOD, IL 60153

    Phone: (708) 216-9000

    Fax: (708) 216-4948

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Stryker Corporation ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$19
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: 2005-08-24

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
I20050824000477INeurosurgeryILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2824$0
99214Established patient office or other outpatient visit, 30-39 minutes2222$0
99205New patient office or other outpatient visit, 60-74 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 3779488903View full group profile

Reviews

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Frequently asked questions

What is DOUGLAS ANDERSON (MD)'s NPI number?
DOUGLAS ANDERSON (MD)'s NPI is 1386621258 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DOUGLAS ANDERSON (MD)?
For scheduling context, DOUGLAS ANDERSON (MD) is shown as active in the registry.
How would a patient describe DOUGLAS ANDERSON (MD)'s focus?
For DOUGLAS ANDERSON (MD), the primary taxonomy reads as Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DOUGLAS ANDERSON (MD) registered?
Use Maywood, Illinois as the headline location for DOUGLAS ANDERSON (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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