DR. WILLIAM CARL ANDERSON III M.D.
NPI 1992961577
Pediatrics - Pediatric Allergy/Immunology in Aurora, CO

NPI Status: Active since August 01, 2008

Contact Information

13123 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 777-1234

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  • Individual
  • Male
  • Pediatrics
  • Pediatric Allergy/Immunology
  • Accepts Insurance
  • PECOS Enrolled

About WILLIAM ANDERSON

This page provides the complete NPI Profile along with additional information for William Anderson, a pediatrician established in Aurora, Colorado with a medical specialization in Pediatrics, focusing in pediatric allergy/immunology . The healthcare provider is registered in the NPI registry with number 1992961577 assigned on August 2008. The practitioner's primary taxonomy code is 2080P0201X with license number DR.0051047 (CO). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1992961577
Provider Name
DR. WILLIAM CARL ANDERSON III M.D.
Gender
Male
Entity Type
Individual
Location Address
13123 E 16TH AVE AURORA, CO 80045
Location Phone
(720) 777-1234
Mailing Address
PO BOX 110429 AURORA, CO 80042
Mailing Phone
(303) 493-7000
Is Sole Proprietor?
No
Enumeration Date
08-01-2008
Last Update Date
12-05-2018
Code Navigator

A pediatrician like William Anderson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Allergy/Immunology

Taxonomy Code
2080P0201X
Type
Allopathic & Osteopathic Physicians
License No.
DR.0051047
License State
CO
Taxonomy Description
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207KA0200XAllopathic & Osteopathic Physicians

Allergy & Immunology
Allergy

DR.0051047 (CO)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

DR.0051047 (CO)
3208000000XAllopathic & Osteopathic Physicians

Pediatrics

DR.0051047 (CO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Value HSA (No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Gold Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO
  • UHC Silver Value ($0 Virtual Urgent Care, No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

William Anderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. WILLIAM CARL ANDERSON III M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992961577, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 1 + 8 + 6 + 2 + 5 + 1 + 4 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1992961577.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
13123 E 16TH AVE
AURORA, CO 80045
Physician Assistant
13123 E 16TH AVE, B145
AURORA, CO 80045
Physician Assistant
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Hematology-Oncology)
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiology
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Infectious Diseases)
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Gastroenterology)
13123 E 16TH AVE, THE CHILDRENS HOSPITAL
AURORA, CO 80045
Urology (Pediatric Urology)
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics
13123 E 16TH AVE
AURORA, CO 80045
Clinical Neuropsychologist
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Gastroenterology)
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiology
13123 E 16TH AVE
AURORA, CO 80045
Orthopaedic Surgery
13123 E 16TH AVE
AURORA, CO 80045
Social Worker (Clinical)
13123 E 16TH AVE
AURORA, CO 80045
Occupational Therapist
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics
13123 E 16TH AVE, B390
AURORA, CO 80045
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE, THE CHILDREN'S HOSPITAL
AURORA, CO 80045
Pediatrics (Neonatal-Perinatal Medicine)
13123 E 16TH AVE
AURORA, CO 80045
Emergency Medicine
13123 E 16TH AVE
AURORA, CO 80045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992961577, enumerated as an "individual" on August 01, 2008.

The provider is located at 13123 E 16TH AVE AURORA, CO 80045 and the phone number is (720) 777-1234.

Pediatrics with taxonomy code 2080P0201X and a focus in Pediatric Allergy/Immunology.

The provider might be accepting Accepts: Medica and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.