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ANTHONY J ANDERSON MD & ASSOC LLC
NPI 1558604231
Family Medicine in Burley, ID

Active since April 01, 2013
1404 POMERELLE AVE STE B, BURLEY, ID 83318(208) 878-9432(208) 878-4576 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anthony J Anderson Md & Assoc Llc NPPES

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

ANTHONY J ANDERSON MD & ASSOC LLC (NPI 1558604231) is a healthcare organization registered as a family medicine in Burley, Idaho and active in the NPI registry since April 2013. The organization lists Anthony Judd Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1558604231
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANTHONY J ANDERSON MD & ASSOC LLC
Location Address1404 POMERELLE AVE STE BBurley, ID 83318-2013
Mailing Address1404 Pomerelle Ave Ste BBurley, ID 83318-2013 · (208) 878-9432 · Fax (208) 878-4576
Phone(208) 878-9432
Fax(208) 878-4576
Organization SubpartNo
Authorized OfficialAnthony Judd AndersonOwner · (208) 878-9432
Enumeration DateApril 1, 2013
Last NPPES UpdateMarch 18, 2016
✔ NPI 1558604231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M-11018
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1404 POMERELLE AVE STE B, Burley, ID 83318
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Other Identifiers 2

Medicare NSC1508021726ID
Medicaid1508021726ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony J Anderson Md & Assoc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Anthony J Anderson MD & Assoc LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Daelynn Smith, FNP
Nurse Practitioner
NPI 1265891261
1404 POMERELLE AVE SUITE B
Burley, ID 83318
(208) 878-9432
✔ PECOS✔ Accepts MedicareSame address
Anthony Anderson, MD
Family Practice
NPI 1508021726
1501 HILAND AVE STE A
Burley, ID 83318
(208) 878-9432
✔ PECOS✔ Accepts Medicare0.3 mi

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

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 Anthony J Anderson MD & Assoc LLC's NPI number?

The NPI number for Anthony J Anderson MD & Assoc LLC is 1558604231. It was assigned to this organization in the NPPES registry on April 1, 2013.

Where is Anthony J Anderson MD & Assoc LLC located?

Anthony J Anderson MD & Assoc LLC is located at 1404 Pomerelle Ave Ste B, Burley, ID 83318. The listed phone number is (208) 878-9432.

What is Anthony J Anderson MD & Assoc LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony J Anderson MD & Assoc LLC enrolled in Medicare?

Yes. Anthony J Anderson MD & Assoc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anthony J Anderson MD & Assoc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Anthony J Anderson MD & Assoc LLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anthony J Anderson MD & Assoc LLC was last updated on March 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.