DR. MICHAEL DAVIS ANDERSON M.D.
NPI 1619149374
Emergency Medicine in Oak Lawn, IL

Q: What is Michael Anderson's NPI number?

The NPI number for Michael Anderson is 1619149374. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Q: What is Michael Anderson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Anderson was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 02, 2008PECOS EnrolledAccepts Medicare Assignment

4440 W 95TH ST, EMERGENCY DEPARTMENT, OAK LAWN, IL 60453(708) 684-5375 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Michael Davis Anderson M.d. NPPES

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

DR. MICHAEL DAVIS ANDERSON M.D. (NPI 1619149374) is an individual emergency medicine provider in Oak Lawn, Illinois, licensed in Illinois (036119930) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1619149374

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MICHAEL DAVIS ANDERSONCredential: M.D.

Location Address4440 W 95TH ST, EMERGENCY DEPARTMENTOak Lawn, IL 60453-2600

Mailing Address4440 W 95th St, Emergency DepartmentOak Lawn, IL 60453-2600 · (708) 684-5375

Phone(708) 684-5375

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateApril 2, 2008

Last NPPES UpdateDecember 17, 2021

NPPES CertifiedDecember 17, 2021

✔ NPI 1619149374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036119930

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4440 W 95TH ST, Oak Lawn, IL 60453

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Davis Anderson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214009976

PECOS Enrollment IDI20080712000028

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

36 services36 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140048

Location2320 E 93rd StChicago, IL 60617 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 20

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

DR. MARK ADRIAN FAASSE MD

Urology