Shayla Anderson, M.D.
NPI 1679828461ActiveIndividual· Pediatrics· St Louis Park, MN
Pediatrics (M.D.) in St Louis Park, Minnesota, licensed in MN and IL, with an NPI issued in July 2012. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1679828461 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 17, 2012 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Mar 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 62272 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | AC3890313-T060 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (MN) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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