ROSA M ANDERSON (MD) – Pediatrics Physician, NPI 1033284757

ROSA M ANDERSON (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 01062155A (IN). The NPI Number for ROSA M ANDERSON (MD) is 1033284757

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
ROSA M ANDERSON (MD)
NPI
1033284757
Phone
(317) 355-2184
Address
6626 E 75TH ST
Enumeration Date
21 November 2006
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3179340778
Graduation Year
2004 (22 years ago)
PAC ID
4789777251
Group Practice PAC ID
7618152729
Professional Enrollment ID
I20070829000938
Address ID
IN462195564IN7910XSTXX401

Contacts

Secure Messaging
randerson9505@eCommunityDirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

667 PEDIATRIC MEDICINE in IN

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Provider Addresses for ROSA M ANDERSON (MD)

  • Hocker & Associates, 6626, East 75th Street, Indianapolis, Indiana, 46250, United States

    SUITE 500

    INDIANAPOLIS, IN 462502805

    Phone: (317) 355-2184

    Fax: (317) 355-7329

    Type: Mailing

  • Community Group Family Medicine Center, 10122, East 10th Street, Warren Hills, Indianapolis, Indiana, 46229, United States

    SUITE 240

    INDIANAPOLIS, IN 462292887

    Phone: (317) 355-7337

    Fax: (317) 355-7329

    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 $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($24).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-29

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
I20070829000938IPediatric MedicineINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46250)

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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: 7618152729View full group profile
NameSpecialtyState
Pediatric Medicine, Internal MedicineIN
Clinical Social WorkerIN
Nurse PractitionerIN
Nurse PractitionerIN
Physician AssistantIN
O B S T E T R I C S/ G Y N E C O L O G YIN
-IN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Does ROSA M ANDERSON (MD) have a public NPI I can cite?
Public records show ROSA M ANDERSON (MD) under NPI 1033284757.
Does the public listing show ROSA M ANDERSON (MD) as active?
ROSA M ANDERSON (MD)'s NPI record reflects an active status in NPPES.
What services align with ROSA M ANDERSON (MD)'s listing?
ROSA M ANDERSON (MD)'s public classification highlights Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What city is tied to ROSA M ANDERSON (MD)?
The directory associates ROSA M ANDERSON (MD) with Indianapolis, Indiana. Check all listed addresses for suites or satellite offices.
Can I export ROSA M ANDERSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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