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DR. DERRIUS J. ANDERSON MD
NPI 1003436163
Surgery in Chicago, IL

Active since April 19, 2020PECOS Enrolled
5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637(773) 702-2500 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2020, Apr 19, 2020 (2 updates tracked since 2020).

About Dr. Derrius J. Anderson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DERRIUS J. ANDERSON MD (NPI 1003436163) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (125.076207) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1003436163
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DERRIUS J. ANDERSONCredential: MD
Location Address5841 S MARYLAND AVE # MC1052Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 702-2500
Sole ProprietorNo
Enumeration DateApril 19, 2020
Last NPPES UpdateMay 29, 20202 updates tracked since enumeration
NPPES CertifiedMay 29, 2020
✔ NPI 1003436163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 125.076207
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5841 S MARYLAND AVE # MC1052, Chicago, IL 60637
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Secondary Practice Location 1

Location 15841 S Maryland Ave # Mc1052Chicago, IL 60637-1443 · Phone (773) 702-6760

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derrius J. Anderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JI SOO KIL MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-0529
DR. CANDACE WILSON MD
Pediatrics
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-6760
MEGHAM TWISS
Counselor (Mental Health)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-4281
MELISSA YUWONO TJOTA MD, PHD
Pathology (Anatomic Pathology & Clinical Pathology)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 834-7708
MICHEAL EZEANA
Emergency Medicine
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-6760
FRAZER TESSEMA MD
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-1447
BREANNA CHANDLER MD
Internal Medicine
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 834-0820
DR. NITIN NANDKUMAR JAGDHANE MD
Neurological Surgery
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (754) 308-7398

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrius Anderson's NPI number?

The NPI number for Derrius Anderson is 1003436163. It was assigned to this individual provider in the NPPES registry on April 19, 2020.

Where is Derrius Anderson located?

Derrius Anderson practices at 5841 S Maryland Ave # Mc1052, Chicago, IL 60637. The listed phone number is (773) 702-2500.

What is Derrius Anderson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Derrius Anderson enrolled in Medicare?

Yes. Derrius Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derrius Anderson was last updated on May 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.