DAVID MICHAEL FREDRIC ANDERSON, D.O. — NPI 1265791768 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in TRAVIS AFB, CA)

CMS-1500 Box 24J / 33a • NPI

1265791768

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207RC0200X (CMS 11)

Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)

Box 32 Service Location & ZIP+4

101 BODIN CIR, TRAVIS AFB, CA, 94535

Official NPPES Practice Location

Practice Phone & Referral Fax

(707) 423-2000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265791768 (DAVID MICHAEL FREDRIC ANDERSON, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1265791768` (NPI-1 Individual Practitioner)
Provider / Legal Name	DAVID MICHAEL FREDRIC ANDERSON, D.O.
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207RC0200X` (Internal Medicine, Critical Care Medicine)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	101 BODIN CIR, TRAVIS AFB, CA, 94535
Practice Telephone / Fax	Tel: (707) 423-2000
Administrative Mailing Address	101 BODIN CIR, TRAVIS AFB, CA, 94535-1809
Enumeration & Last Sync	Enumerated: 2012-05-04 \| CMS Record Updated: 2019-04-24

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

101 BODIN CIR, TRAVIS AFB, CA, 94535

🗺️ Open in Google Maps 🏥 More Providers in TRAVIS AFB

🔒 Are you DAVID MICHAEL FREDRIC ANDERSON, D.O.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (207RC0200X)

What Does Taxonomy Code 207RC0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0200X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 81 (Physician/Critical Care (Intensivists))
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DAVID MICHAEL FREDRIC ANDERSON, D.O.)

Typical CPT / Diagnostic Procedures:

Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
Preoperative Medical Risk Assessment & Cardiac Clearance
Chronic Kidney, Hepatic & Metabolic Panel Interpretation
Adult Inpatient Hospitalist Management & Discharge Coordination

Common Therapeutic Classes:

Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RP1001X` — Internal Medicine, Pulmonary Disease Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: TX \| License: `R5500` \| Primary: Secondary
`207RP1001X` — Internal Medicine, Pulmonary Disease Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: VA \| License: `0102203681` \| Primary: Secondary
`207RP1001X` — Internal Medicine, Pulmonary Disease Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: CA \| License: `20A16734` \| Primary: Secondary
`207RC0200X` — Internal Medicine, Critical Care Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: CA \| License: `20A16734` \| Primary: Yes (Primary)
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: TX \| License: `R5500` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: VA \| License: `0102203681` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: CA \| License: `20A16734` \| Primary: Secondary
`207RC0200X` — Internal Medicine, Critical Care Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: VA \| License: `0102203681` \| Primary: Secondary
`207RC0200X` — Internal Medicine, Critical Care Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: TX \| License: `R5500` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

DAVID MICHAEL FREDRIC ANDERSON, D.O. (NPI #1265791768)