Individual provider Active NPI

Trent L. Vande Garde, M.D.

  • Ophthalmology Physician
  • Topeka, KS
National Provider Identifier
1023128691
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-28231 Issued in KS
Practice address
619 SW Corporate View
Topeka, KS 66615
Phone
(785) 235-3322
Fax
(785) 235-1217
NPI assigned
Aug 30, 2006
Last updated
Oct 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 04-28231 KS Primary

Addresses

Primary practice location

619 SW Corporate View
Topeka, KS 66615

Mailing address

619 SW Corporate View
Topeka, KS 66615
Phone (785) 235-3322

Other identifiers 3

IdentifierTypeStateIssuer
180042685OtherKSPALMETTO GBA
101177OtherKSBCBS OF KS
100421700AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000999 KS Practitioner - Ophthalmology 4385609288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Eye Care LLCGroup PAC ID 5193044451, 4 clinicians

Practice addresses (Care Compare)

619 SW Corporate VW
Topeka, KS 66615-1233
Phone (785) 235-3322

Merit-based Incentive Payment System (MIPS)

Final score
22.7 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-28231KSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Eye Care, LLC Ophthalmology CurrentSince Apr 1, 2015 Accepting new patients
Washburn Surgery Center, LLC PastSince Jul 1, 2004 Accepting new patients
Center for Sight of Northeast Kansas, PA Ophthalmology Past Accepting new patients

Locations

619 SW Corporate Vw
Topeka, KS 66615
Phone (785) 232-6022

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1023128691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 SW CORPORATE VIEW",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66615",
            "telephone_number": "785-235-3322",
            "fax_number": "785-235-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SW CORPORATE VIEW",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66615",
            "telephone_number": "785-235-3322",
            "fax_number": "785-235-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDE GARDE",
        "first_name": "TRENT",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-28231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "180042685",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "101177",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100421700A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.