DR. JOHN DANA ANDERSON M.D.
NPI 1790974038
Pediatrics in Portland, OR
About Dr. John Dana Anderson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN DANA ANDERSON M.D. (NPI 1790974038) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (MD186692) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Dana Anderson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Portland, OR 97214
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORTLAND, OR 97220
PORTLAND, OR 97220
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 1790974038. It was assigned to this individual provider in the NPPES registry on October 23, 2007.
Where is John Anderson located?
John Anderson practices at 1700 NE 102nd Ave, Portland, OR 97220. The listed phone number is (503) 813-2000.
What is John Anderson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
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 Kaiser Foundation Health Plan Of The Northwest (Portland, OR). 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.
When was this NPI record last updated?
The NPPES record for John Anderson was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. John Dana Anderson, M.D. · NPI 1790974038
Pediatrics physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since October 23, 2007.
## Identity
- **NPI:** 1790974038 (Entity type: Individual)
- **Enumerated:** October 23, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD186692 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1700 NE 102ND AVE, Portland, OR 97220-3804
- **Phone:** (503) 813-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1063990695, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1790974038) · Data from the CMS NPPES public registry.