ANDERSON MEDICAL GROUP, LLC
ANDERSON MEDICAL GROUP, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1700807716, based in Maryville, IL. The organization lists 15 taxonomy classifications, with General Practice Physician recorded as primary.
Getting there
The practice address on file is 6810 STATE ROUTE 162 SUITE 215, Maryville, IL 62062. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 5193792018
Enrolled in Medicare 6 times, across 6 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Illinois | O20040910001137 | Part B Supplier - Clinic/group Practice |
| Arizona | O20250926000963 | Part B Supplier - Clinic/group Practice |
| Missouri | O20251013003749 | Part B Supplier - Clinic/group Practice |
| Virginia | O20251021004288 | Part B Supplier - Clinic/group Practice |
| Georgia | O20251027003561 | Part B Supplier - Clinic/group Practice |
| Florida | O20251030002998 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 6 separate enrolment records across 6 states (IL, AZ, MO, VA, GA, FL). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What General Practice covers
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | — | — | primary |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician Pain Medicine | — | — | |
| 207Q00000X | Family Medicine Physician | — | — | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | — | — | |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician Critical Care Medicine | — | — | |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician Endocrinology, Diabetes & Metabolism | — | — | |
| 207RG0100X | Gastroenterology Physician Gastroenterology | — | — | |
| 207RN0300X | Nephrology Physician Nephrology | — | — | |
| 2084N0400X | Neurology Physician Neurology | — | — | |
| 207T00000X | Neurological Surgery Physician | — | — | |
| 208600000X | Surgery Physician | — | — | |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | |
| 207X00000X | Orthopaedic Surgery Physician | — | — | |
| 207Y00000X | Otolaryngology Physician | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1700807716 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 22, 2006 |
| Last updated | Aug 13, 2025 |
| Status | Active |
| Practice address |
6810 STATE ROUTE 162 SUITE 215 Maryville, IL 62062 (618) 288-5711 Fax (618) 288-4088 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 0 | 0 | 8 | 0 | 7 | 7 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 0 | 0 | 7 | 0 | 5 | 7 | 2 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.