Kevin C Anderson
MD | Orthopedic Surgery | 24+ years Exp
Medicare Enrolled 100 Navarre Pl Ste 4440, South Bend
Indiana, 46601-1171
574-647-5300 574-647-5305
Maps & DirectionsKevin C Anderson is a South Bend, Indiana based orthopedic surgeon with 24 years of experience in Orthopedic Surgery. He completed his graduation from University Of Michigan Medical School in 2001. He is also affiliated with hospitals like Ascension Providence Hospital, Southfield And Novi. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kevin C Anderson is 01079147A for Foot and Ankle Surgery in Indiana.
Kevin C Anderson is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Kevin C Anderson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Orthopedic Surgery |
| Credentials: | MD |
| Experience: | 24+ years |
| Medical School Attended: | University Of Michigan Medical School |
| Graduation Year: | 2001 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 100 Navarre Pl Ste 4440, South Bend,
Indiana, 46601-1171 |
| Phone: | 574-647-5300 |
| Fax: | 574-647-5305 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8729086822 |
| Enrollment ID: | I20061128000557 |
| NPI Number: | 1427150796 |
| NPI Enumeration Date: | 05 Sep, 2006 |
| NPI Last Update On: | 30 Dec, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin C Anderson are as mentioned below.
| License Number | Specialization | State | Status | |
| 01079147A | Foot and Ankle Surgery | Indiana | Primary | |
| 01079147A | Orthopedic Surgery | Indiana | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Ascension Providence Hospital, Southfield And Novi (230019) | Southfield, MI | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kevin C Anderson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| The Porretta Center For Orthopaedic Surgery, Pllc (2860585544) | 23 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kevin C Anderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 300006370 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 710 N Niles Ave,
South Bend, Indiana |
| Zip: | 46617-1924 |
| Phone Number: | 574-647-1610 |
| Fax Number: | 574-237-6069 |
Patients can reach Kevin C Anderson at
100 Navarre Pl Ste 4440, South Bend, Indiana or can
call to book an appointment on 574-647-5300.
Comments/ Reviews:
Patients can read all the reviews posted for Kevin C Anderson below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Kevin C Anderson. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.