ROBERT DALE ANDERSON (MD) – Cardiovascular Disease Physician, NPI 1063409001

ROBERT DALE ANDERSON (MD) is a healthcare provider. based in Fort worth, Texas. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. H2211 (TX). The NPI Number for ROBERT DALE ANDERSON (MD) is 1063409001

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT DALE ANDERSON (MD)
NPI
1063409001
Phone
(817) 252-5000
Address
1300 W TERRELL AVE
Enumeration Date
4 October 2005
Last Update Date
9 April 2008

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8172633724
Graduation Year
1986 (40 years ago)
PAC ID
3971698176
Group Practice PAC ID
4385535954
Professional Enrollment ID
I20071227000081
Address ID
TX761324130FO6100XPKWY302
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

2,430 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TX

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Provider Addresses for ROBERT DALE ANDERSON (MD)

  • 1300, West Terrell Avenue, Fort Worth, Tarrant County, Texas, 76104, United States

    #500

    FORT WORTH, TX 761042800

    Phone: (817) 252-5000

    Fax: (817) 252-5060

    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 5 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Abbott Laboratories ($51).

Total Amount

$156

General + Research + Ownership

Payments

5

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2007-12-27

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
I20071227000081ICardiovascular Disease (Cardiology)TXTBD

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
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function579569$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report515477$0
99214Established patient office or other outpatient visit, 30-39 minutes283267$0
J2785Injection, regadenoson, 0.1 mg26466$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes167107$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Provider's Procedures

ROBERT DALE ANDERSON (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies131131

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: 4385535954View full group profile
NameSpecialtyState
Internal MedicineTX
Vascular SurgeryPA
Internal MedicineTX
-TX
-TX
-TX
-TX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Family PracticeTX

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Frequently asked questions

What federal number belongs to ROBERT DALE ANDERSON (MD)?
The federal identifier for ROBERT DALE ANDERSON (MD) is NPI 1063409001.
Does this profile mean ROBERT DALE ANDERSON (MD) is currently active?
Yes — ROBERT DALE ANDERSON (MD) appears active in the national provider directory.
Does ROBERT DALE ANDERSON (MD) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for ROBERT DALE ANDERSON (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for ROBERT DALE ANDERSON (MD)?
The page summarizes Fort Worth, Texas for ROBERT DALE ANDERSON (MD); expand the address list for detail.
How can I contact ROBERT DALE ANDERSON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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