Active NPI
Van Ambrose Schloegel, MD
- Urology Physician
- Columbia, MO
National Provider Identifier
1053998542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2026021922
- Practice address
- 105 N Keene St Ste 201
Columbia, MO 65201-8131 - Phone
- (573) 499-4990
- Fax
- (573) 442-2120
- NPI assigned
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2026021922 | MO | Primary |
Addresses
Primary practice location
105 N Keene St Ste 201
Columbia, MO 65201-8131
Mailing address
105 N Keene St Ste 201
Columbia, MO 65201-8131
Phone (573) 499-4990
Other practice location 1
800 Rose Street
Room MN 283
Lexington, KY 40536
Phone (859) 323-5057
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Van.Schloegel@mca.ikm.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220809002580 | KY | Order and Referring Only - Neurology | 9335521293 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1053998542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N KEENE ST STE 201",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018131",
"telephone_number": "573-499-4990",
"fax_number": "573-442-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N KEENE ST STE 201",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018131",
"telephone_number": "573-499-4990",
"fax_number": "573-442-2120"
}
],
"practiceLocations": [
{
"address_1": "800 Rose Street",
"address_2": "Room MN 283",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "40536",
"country_code": "US",
"telephone_number": "859-323-5057",
"fax_number": "859-257-6024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHLOEGEL",
"first_name": "VAN",
"middle_name": "AMBROSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MO",
"license": "2026021922",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Van.Schloegel@mca.ikm.direct-ci.com",
"affiliation": "N",
"address_1": "105 N Keene St Ste 201",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "652018131",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.