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CHARLES DAVID ANDERSON
NPI 1891256632
Pediatrics - Pediatric Nephrology in Philadelphia, PA

Active since March 26, 2019PECOS Enrolled
3401 CIVIC CENTER BLVD., DIVISION OF PEDIATRIC NEPHROLOGY, PHILADELPHIA, PA 19104(215) 590-2449 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles David Anderson NPPES

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

CHARLES DAVID ANDERSON (NPI 1891256632) is an individual pediatric nephrology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT228058) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891256632
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameCHARLES DAVID ANDERSON
Location Address3401 CIVIC CENTER BLVD., DIVISION OF PEDIATRIC NEPHROLOGYPhiladelphia, PA 19104-5812
Mailing Address3401 Civic Center Blvd., Division Of Pediatric NephrologyPhiladelphia, PA 19104-5812 · (215) 590-2449
Phone(215) 590-2449
Sole ProprietorYes
Enumeration DateMarch 26, 2019
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1891256632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in PA · MT228058
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
3401 CIVIC CENTER BLVD., Philadelphia, PA 19104
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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)

Charles David 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 5

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

ROBERT BOYD
Pediatrics
3401 CIVIC CENTER BLVD., DEPARTMENT OF PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220
MISS JOY C. KERR CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2754
SHWETA PRAVINKUMAR DAVID
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD., 6NE67
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. LAURA ASHLEY TSURUKO KAGAMI MD
Pediatrics
3401 CIVIC CENTER BLVD., DIVISION OF GENERAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220
CODY-AARON GATHERS M.D.
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD., DIVISION OF CRITICAL CARE
PHILADELPHIA, PA 19104
Philadelphia County (267) 426-2958

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 Charles Anderson's NPI number?

The NPI number for Charles Anderson is 1891256632. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Charles Anderson located?

Charles Anderson practices at 3401 Civic Center Blvd. Division Of Pediatric Nephrology, Philadelphia, PA 19104. The listed phone number is (215) 590-2449.

What is Charles Anderson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Charles Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Anderson was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.