DR. EDWIN ANDERSON MD
NPI 1710935242
Family Medicine in Glen Ellyn, IL

Active since May 05, 2006
539 ROOSEVELT RD # 1078, GLEN ELLYN, IL 60137(630) 384-9757 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2025, Nov 24, 2021, Oct 29, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Edwin Anderson Md NPPES

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

DR. EDWIN ANDERSON MD (NPI 1710935242) is an individual family medicine provider in Glen Ellyn, Illinois, licensed in Illinois (036076114) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1710935242
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWIN ANDERSONCredential: MD
Location Address539 ROOSEVELT RD # 1078Glen Ellyn, IL 60137-5734
Mailing Address539 Roosevelt Rd # 1078Glen Ellyn, IL 60137-5734 · (630) 384-9757
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateAugust 18, 20255 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
NPI 1710935242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036076114
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.
539 ROOSEVELT RD # 1078, Glen Ellyn, IL 60137

Other Identifiers 1

Medicaid036076114IL

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
316 services192 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
299 services176 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
181 services181 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
77 services52 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
43 services41 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
36 services36 patients

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 Edwin Anderson's NPI number?

The NPI number for Edwin Anderson is 1710935242. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Edwin Anderson located?

Edwin Anderson practices at 539 Roosevelt Rd # 1078, Glen Ellyn, IL 60137. The listed phone number is (630) 384-9757.

What is Edwin Anderson's specialty?

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

When was this NPI record last updated?

The NPPES record for Edwin Anderson was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.