CMS-1500 Box 24J / 33a • NPI
1356720387
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207ZP0102X (CMS 22)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology
Box 32 Service Location & ZIP+4
1 HAMPTON RD UNIT 208, EXETER, NH, 03833-4849
✓ 9-Digit EDI 837 ZIP+4 (03833-4849)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1356720387 (KEVIN ANDERSON, M.D, Ph.D.) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1356720387 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KEVIN ANDERSON, M.D, Ph.D. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology NUCC Code: 207ZP0102X (Pathology, Anatomic Pathology & Clinical Pathology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1 HAMPTON RD UNIT 208, EXETER, NH, 03833-4849 |
| Practice Telephone / Fax | Tel: (866) 484-3522 | Fax: (603) 778-1602 |
| Administrative Mailing Address | 330 BROOKLINE AVE, BOSTON, MA, 02215-5400 |
| Enumeration & Last Sync | Enumerated: 2015-05-22 | CMS Record Updated: 2018-06-11 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in EXETER
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Plain-English Taxonomy & CMS Crosswalk (207ZP0102X)
What Does Taxonomy Code 207ZP0102X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207ZP0102X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KEVIN ANDERSON, M.D, Ph.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207ZP0102X — Pathology, Anatomic Pathology & Clinical PathologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology | State: MA | License: 269567 | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: MA | License: 256001 | Primary: Secondary |
207ZP0102X — Pathology, Anatomic Pathology & Clinical PathologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology | State: NH | License: 18713 | Primary: Yes (Primary) |
207ZP0102X — Pathology, Anatomic Pathology & Clinical PathologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology | State: ME | License: MD22122 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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