Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CRAIG ALLAN ANDERSON D.O.
NPI 1184629487
Pediatrics - Neonatal-Perinatal Medicine in Tulsa, OK

Active since June 15, 2005PECOS Enrolled
1120 S UTICA AVE, STE 2123, TULSA, OK 74104(918) 579-5402 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Craig Allan Anderson D.o. NPPES

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

DR. CRAIG ALLAN ANDERSON D.O. (NPI 1184629487) is an individual neonatal-perinatal medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (3083) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184629487
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. CRAIG ALLAN ANDERSONCredential: D.O.
Location Address1120 S UTICA AVE, STE 2123Tulsa, OK 74104-4012
Mailing Address1120 S Utica Ave, Ste 2123Tulsa, OK 74104-4012 · (918) 579-5402
Sole ProprietorNo
Enumeration DateJune 15, 2005
Last NPPES UpdateSeptember 29, 2026
✔ NPI 1184629487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in OK · 3083
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1120 S UTICA AVE, Tulsa, OK 74104

Other Identifiers 5

Medicaid160481101TX
Medicaid206354706MO
Medicaid100363150AKS
Medicaid100063640AOK
Medicaid133957003AR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Craig Allan Anderson D.o. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Craig Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neonatal-Perinatal Medicine
1120 S UTICA AVE, SUITE 2123
Tulsa, OK 74104
  • Reassigned Medicare billing, Oklahoma enrollment
  • Medicare enrollment name: Newborn Specialists Of Tulsa PC
  • 4 clinicians in this Medicare group
Neuromuscular Medicine
501 S CHIPETA WAY
Salt Lake City, UT 84108
  • Reassigned Medicare billing, Utah enrollment
  • 202 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Dietitian, Registered
1120 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Nurse Anesthetist, Certified Registered
1120 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Anesthesiology
1120 S UTICA AVE
TULSA, OK 74104

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 Craig Anderson's NPI number?

The NPI number for Craig Anderson is 1184629487. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Craig Anderson located?

Craig Anderson practices at 1120 S Utica Ave Ste 2123, Tulsa, OK 74104. The listed phone number is (918) 579-5402.

What is Craig Anderson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Craig Anderson enrolled in Medicare?

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

Which organizations bill Medicare for Craig Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Craig Anderson reassigns Medicare benefits to 2 organizations: Newborn Specialists Of Tulsa, P.C. (Tulsa, OK) and University Of Utah Pediatric Acuity Care (Salt Lake City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Craig Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Craig Anderson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Craig Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Craig Anderson was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.