CMS-1500 Box 24J / 33a • NPI
1962732354
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RH0003X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
1350 S ELISEO DR STE 200, GREENBRAE, CA, 94904-2018
✓ 9-Digit EDI 837 ZIP+4 (94904-2018)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1962732354 (KRISTIN NICOLE ANDERSON, MD, MPH) 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 | 1962732354 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KRISTIN NICOLE ANDERSON, MD, MPH |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RH0003X (Internal Medicine, Hematology & Oncology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 1350 S ELISEO DR STE 200, GREENBRAE, CA, 94904-2018 |
| Practice Telephone / Fax | Tel: (415) 925-5000 | Fax: (415) 925-5050 |
| Administrative Mailing Address | 1350 S ELISEO DR STE 200, GREENBRAE, CA, 94904-2018 |
| Enumeration & Last Sync | Enumerated: 2010-01-06 | CMS Record Updated: 2026-10-15 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RH0003X)
What Does Taxonomy Code 207RH0003X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RH0003X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KRISTIN NICOLE ANDERSON, MD, MPH)
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
- 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 |
|---|---|
207RH0003X — Internal Medicine, Hematology & OncologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: CA | License: A117104 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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