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

SCOTT ANDERSON
NPI 1609680305
General Practice in Tacoma, WA

Active since February 03, 2025PECOS Enrolled
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-3105 Get Directions Write a Review

NPPES record last updated: August 8, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 8, 2026, Feb 3, 2025 (2 updates tracked since 2025).

About Scott Anderson NPPES

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

SCOTT ANDERSON (NPI 1609680305) is an individual general practice provider in Tacoma, Washington, licensed in Virginia (0101290532) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609680305
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSCOTT ANDERSON
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-3105
Phone(253) 968-3105
Sole ProprietorNo
Enumeration DateFebruary 3, 2025
Last NPPES UpdateAugust 8, 20262 updates tracked since enumeration
NPPES CertifiedAugust 8, 2026
✔ NPI 1609680305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101290532
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9040 JACKSON AVE, Tacoma, WA 98431
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Anderson 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.

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.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

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 Scott Anderson's NPI number?

The NPI number for Scott Anderson is 1609680305. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Scott Anderson located?

Scott Anderson practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-3105.

What is Scott Anderson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Scott Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Scott Anderson was last updated on August 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.