Kevin Anderson
NPI 1790336709 · Physician Assistant · Philadelphia, PA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Anderson is a Physician Assistant provider in Philadelphia, PA (NPI 1790336709).
Provider details
- NPI number
- 1790336709
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- MA060948 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2019-09-23
- Last updated
- 2019-09-23
Frequently asked questions
- What is Kevin Anderson's NPI number?
- Kevin Anderson's National Provider Identifier (NPI) is 1790336709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Anderson's specialty?
- Kevin Anderson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kevin Anderson located?
- Kevin Anderson's practice location on file with NPPES is 3401 Civic Center Blvd, Philadelphia, PA 19104-4319.
- What is Kevin Anderson's phone number?
- The practice phone number listed in the NPPES registry for Kevin Anderson is (215) 590-1000.
- Does Kevin Anderson accept Medicare?
- Kevin Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Anderson's NPI active?
- Yes — Kevin Anderson's NPI (1790336709) is active in the NPPES registry as of the last update on 2019-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.