SAMUEL NELS ANDERSEN, MD — NPI 1942769997 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology in MYRTLE BEACH, SC)

CMS-1500 Box 24J / 33a • NPI

1942769997

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2085R0001X (CMS 92)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology

Box 32 Service Location & ZIP+4

4708 OLEANDER DR, MYRTLE BEACH, SC, 29577-5742

✓ 9-Digit EDI 837 ZIP+4 (29577-5742)

Practice Phone & Referral Fax

(843) 449-9415

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1942769997 (SAMUEL NELS ANDERSEN, MD) 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	`1942769997` (NPI-1 Individual Practitioner)
Provider / Legal Name	SAMUEL NELS ANDERSEN, MD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology NUCC Code: `2085R0001X` (N/A)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4708 OLEANDER DR, MYRTLE BEACH, SC, 29577-5742
Practice Telephone / Fax	Tel: (843) 449-9415
Administrative Mailing Address	8121 ROURK ST, MYRTLE BEACH, SC, 29572-4128
Enumeration & Last Sync	Enumerated: 2019-03-19 \| CMS Record Updated: 2025-09-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4708 OLEANDER DR, MYRTLE BEACH, SC, 29577-5742

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Plain-English Taxonomy & CMS Crosswalk (2085R0001X)

What Does Taxonomy Code 2085R0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0001X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 92 (Physician/Radiation Oncology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SAMUEL NELS ANDERSEN, MD)

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

Common Therapeutic Classes:

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
`2085R0001X` — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology	State: SC \| License: `MMD.91586` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SAMUEL NELS ANDERSEN, MD (NPI #1942769997)