Anderson Medical Group, LLC
NPI 1700807716 · General Practice Physician · Maryville, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anderson Medical Group, LLC is a General Practice Physician organization in Maryville, IL (NPI 1700807716).
Provider details
- NPI number
- 1700807716
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Marshall, Ceo(618) 391-6402
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Frequently asked questions
- What is Anderson Medical Group, LLC's NPI number?
- Anderson Medical Group, LLC's National Provider Identifier (NPI) is 1700807716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Anderson Medical Group, LLC?
- Anderson Medical Group, LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Anderson Medical Group, LLC located?
- Anderson Medical Group, LLC's practice location on file with NPPES is 6810 State Route 162, Maryville, IL 62062-8501.
- What is Anderson Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Anderson Medical Group, LLC is (618) 288-5711.
- Does Anderson Medical Group, LLC accept Medicare?
- Anderson Medical Group, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Anderson Medical Group, LLC?
- The authorized official listed on Anderson Medical Group, LLC's NPPES record is Michael Marshall, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Anderson Medical Group, LLC's NPI active?
- Yes — Anderson Medical Group, LLC's NPI (1700807716) is active in the NPPES registry as of the last update on 2025-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.