DR. KELLY JAROM ANDERSON MD
NPI 1194935049
Pediatrics in Idaho Falls, ID

Active since May 22, 2007PECOS Enrolled
3430 WASHINGTON PKWY, IDAHO FALLS, ID 83404(208) 523-3060(208) 523-0028 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly Jarom Anderson Md NPPES

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

DR. KELLY JAROM ANDERSON MD (NPI 1194935049) is an individual pediatrics provider in Idaho Falls, Idaho, licensed in Idaho (M10579) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194935049
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KELLY JAROM ANDERSONCredential: MD
Location Address3430 WASHINGTON PKWYIdaho Falls, ID 83404-7579
Mailing Address3430 Washington PkwyIdaho Falls, ID 83404-7579 · (208) 523-3060 · Fax (208) 523-0028
Fax(208) 523-0028
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateSeptember 10, 2009
NPI 1194935049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in ID · M10579
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3430 WASHINGTON PKWY, Idaho Falls, ID 83404

Accepted Insurance

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. Kelly Jarom 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 83404 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
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 12

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

Pediatrics
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Pediatrics
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Pediatrics
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Pediatrics
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Physician Assistant
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Pediatrics
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Pediatrics
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Pediatrics
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404

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 Kelly Anderson's NPI number?

The NPI number for Kelly Anderson is 1194935049. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Kelly Anderson located?

Kelly Anderson practices at 3430 Washington Pkwy, Idaho Falls, ID 83404. The listed phone number is (208) 523-3060.

What is Kelly Anderson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelly Anderson enrolled in Medicare?

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

What insurance does Kelly Anderson accept?

Health plans from PacificSource Health Plans, Select Health and University of Utah Health Plans list Kelly 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 Kelly Anderson was last updated on September 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.