Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicolas S Anderson, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1124179817

Dr. Nicolas S Anderson, DPM is a Podiatry in Riverside, Illinois. Qualified in 2005, 21 years ago. Practices with Midland Orthopedic Associates PLLC, a 19-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2007
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

353 E Burlington St Ste 100
Riverside, IL 60546-2189
Phone: (708) 442-0221
Fax: (708) 442-5670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016-005287 (IL)

Record details

NPI number1124179817
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJune 6, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Midland Orthopedic Associates Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount