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DR. JOHN EDWARD ANDERSON DO
NPI 1356908552
Pediatrics - Sports Medicine in Toledo, OH

Active since May 22, 2019PECOS Enrolled
2222 CHERRY ST STE 2000, TOLEDO, OH 43608(419) 251-2061 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2024, Oct 24, 2023, Oct 18, 2023 and 2 more (5 updates tracked since 2019).

About Dr. John Edward Anderson Do NPPES

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

DR. JOHN EDWARD ANDERSON DO (NPI 1356908552) is an individual sports medicine provider in Toledo, Ohio, licensed in Ohio (34.016830) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1356908552
Entity TypeIndividualMale
Primary Taxonomy2080S0010X
Provider Legal NameDR. JOHN EDWARD ANDERSONCredential: DO
Location Address2222 CHERRY ST STE 2000Toledo, OH 43608-2673
Mailing Address2222 Cherry St Ste 2000Toledo, OH 43608-2673 · (419) 251-2061
Phone(419) 251-2061
Sole ProprietorNo
Enumeration DateMay 22, 2019
Last NPPES UpdateJune 7, 20245 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1356908552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License✔ Licensed in OH · 34.016830
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
2222 CHERRY ST STE 2000, Toledo, OH 43608
Open in Google Maps ↗

Secondary Practice Locations 4

Location 17640 Sylvania Ave Ste ESylvania, OH 43560-9263 · Phone (419) 251-2061
Location 22213 Cherry StToledo, OH 43608-2603 · Phone (419) 251-2061
Location 32142 N Cove BlvdToledo, OH 43606-3895 · Phone (419) 251-2061
Location 4700 Childrens DrColumbus, OH 43205-2664 · Phone (419) 251-2061

Other Identifiers 1

Medicaid0031377OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.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. John Edward Anderson Do 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 Reassignment

Medicare enrollment records show John Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwest Pediatric Specialists, LLC
Same address
Pediatrics
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 233 clinicians in this Medicare group
NPI 1033709100 (419) 251-3232

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 6

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

JENNIFER KALBUS MD
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
2222 CHERRY ST STE 2000
TOLEDO, OH 43608
Lucas County (419) 251-8015
SUSAN MEYER PCPNP
Nurse Practitioner (Pediatrics)
2222 CHERRY ST STE 2000
TOLEDO, OH 43608
Lucas County (419) 251-8015
MACKENZIE MARIE BLAZEK MS, CGC
Genetic Counselor, MS
2222 CHERRY ST STE 2000
TOLEDO, OH 43608
Lucas County (419) 251-8007
CHRISTINA PARK MS, CGC
Genetic Counselor, MS
2222 CHERRY ST STE 2000
TOLEDO, OH 43608
Lucas County (419) 251-9438
PHILLIP JON STOKEY MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
2222 CHERRY ST STE 2000
TOLEDO, OH 43608
Lucas County (419) 251-2061
DR. JESSICA MAE ADERMAN D.O.
Medical Genetics (Clinical Genetics (M.D.))
2222 CHERRY ST STE 2000
TOLEDO, OH 43608
Lucas County (419) 251-8015

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 John Anderson's NPI number?

The NPI number for John Anderson is 1356908552. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is John Anderson located?

John Anderson practices at 2222 Cherry St Ste 2000, Toledo, OH 43608. The listed phone number is (419) 251-2061.

What is John Anderson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is John Anderson enrolled in Medicare?

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

Which organization bills Medicare for John Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Anderson reassigns Medicare benefits to Northwest Pediatric Specialists, LLC (Toledo, OH). The 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 John Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Anderson accept?

Health plans from CareSource, Cigna HealthCare of Florida, Inc., Cigna Healthcare, MedMutual and Molina Healthcare list John 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 John Anderson was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.