DR. EDWIN ANDERSON (MD) – Family Medicine Physician, NPI 1710935242

DR. EDWIN ANDERSON (MD) is a healthcare provider. based in Glen ellyn, Illinois. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 036076114 (IL). The NPI Number for DR. EDWIN ANDERSON (MD) is 1710935242

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWIN ANDERSON (MD)
NPI
1710935242
Phone
(630) 384-9757
Address
539 ROOSEVELT RD # 1078
Enumeration Date
5 May 2006
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
6304585300
Graduation Year
1986 (40 years ago)
PAC ID
8820139975
Group Practice PAC ID
0244135762
Professional Enrollment ID
I20100111000811

Contacts

Secure Messaging
edwin.anderson.1@380.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

Provider Addresses for DR. EDWIN ANDERSON (MD)

  • 539 ROOSEVELT RD # 1078

    GLEN ELLYN, IL 601375734

    Phone: (630) 384-9757

    Type: Mailing

  • East North Avenue, Carol Stream, DuPage County, Illinois, 60188, United States

    DEPT OF FAMILY MEDICINE

    CAROL STREAM, IL 601881560

    Phone: (630) 458-5300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-06-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($56).

Total Amount

$80

General + Research + Ownership

Payments

4

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-28

Latest reported date

Top Companies

Largest payers in this snapshot

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 minutes431249$0
99214Established patient office or other outpatient visit, 30-39 minutes330201$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit223223$0
83036Hemoglobin a1c level8154$0
G0008Administration of influenza virus vaccine5553$0
View full utilization report →

Insurance plans in this area (ZIP 60137)

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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: 0244135762View full group profile
NameSpecialtyState
Family PracticeIL
Family Practice, Emergency MedicineIL
N E U R O L O G YIL
O T O L A R Y N G O L O G YIL
-IL
-IL
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Geriatric Medicine, Family PracticeIL
Family PracticeIL

Reviews

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Frequently asked questions

Does DR. EDWIN ANDERSON (MD) have a public NPI I can cite?
Public records show DR. EDWIN ANDERSON (MD) under NPI 1710935242.
Is DR. EDWIN ANDERSON (MD)'s NPI status active today?
Active status means DR. EDWIN ANDERSON (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. EDWIN ANDERSON (MD)?
NPPES ties DR. EDWIN ANDERSON (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. EDWIN ANDERSON (MD)?
DR. EDWIN ANDERSON (MD) is associated with Glen Ellyn, Illinois in the same public data insurers reference.
Can I export DR. EDWIN ANDERSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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