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Dr. Angela Juanita Anderson , MD

General Practice β€’ Gary, IN

Deactivated NPI 1891930913 Deactivated in NPPES Female Practitioner
Practice location in NPPES

2353 Madison Street
Gary, IN 46407

Phone: 2198851608

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of September 24, 2026; the reason is not published. The records below are historical. They do not show whether Dr. Angela Anderson currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date December 03, 2008
NPI Deactivation Date September 24, 2026
NPI Active Period 2008 – 2026

Practice Location & Contact Primary Location

Practice Address

2353 Madison Street

Gary, IN 46407

Telephone 2198851608
Fax 2198851608

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Gary and Indiana

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES IN 01037923A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated September 24, 2026

NPPES lists this NPI as deactivated as of September 24, 2026; the reason is not published.

βœ…
NPI Profile Active December 03, 2008

NPI status registered as active in NPPES database

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Practice Location (Initial Record) December 03, 2008

Registered at 2353 MADISON STREET, GARY, IN 46407 (Tel: 2198851608)

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Business Mailing Address (Initial Record) December 03, 2008

Registered at 2353 MADISON STREET, GARY, IN 46407 (Tel: 2198851608)

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Provider Name / Credentials (Initial Record) December 03, 2008

Recorded as ANGELA ANDERSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2008

General Practice (license number reported to NPPES: IN 01037923A)

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Initial NPI Registration & Enumeration December 03, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891930913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2008
Last Update: August 09, 2026
Deactivation Date: September 24, 2026
Sole Proprietor: Yes

Mailing Address

2353 Madison Street

Gary, IN 46407

Phone: 2198851608

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.