Active NPI
Christopher Johannus Vandermeer, MD
- Diagnostic Radiology Physician
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 200101148
- Practice address
- 620 Summit Crossing PL
Ste 106
Gastonia, NC 28054 - Phone
- (704) 867-8021
- Fax
- (704) 864-4606
- NPI assigned
- Nov 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 200101148 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 200101148 | NC | Primary |
Addresses
Primary practice location
620 Summit Crossing PL
Ste 106
Gastonia, NC 28054
Mailing address
620 Summit Crossing PL
Ste 106
Gastonia, NC 28054
Phone (704) 867-8021
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137Y2 | Other | BLUE CROSS BLUE SHIELD | |
| 560988142 | Other | UNITED HEALTHCARE | |
| P00192298 | Other | RAILROAD MEDICARE | |
| 8913742 | Medicaid | NC | |
| 804854 | Other | PARTNERS | |
| 7239629 | Other | AETNA PPO | |
| N01141 | Medicaid | SC | |
| D4992 | Other | MEDCOST | |
| 3616235 | Other | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Virginia Commonwealth University, School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 Summit Crossing Place
Suite 106
Gastonia, NC 28054-2176
Phone (704) 864-4378
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.22 of 100
- Quality
- 95.56
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200101148 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Radiology PA | Diagnostic Radiology | Current | Accepting new patients |
| Gaston Radiology | Diagnostic Radiology | Current | Accepting new patients |
Locations
1212 Spruce St
Belmont, NC 28012
Phone (704) 825-5677
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
336 Burtonwood Dr
Gastonia, NC 28054
Phone (704) 867-8021
620 Summit Crossing Pl
Ste 106
Gastonia, NC 28054
Phone (704) 864-4378
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Gastonia, NC
- NPI 1356324487
-
- Diagnostic Radiology Physician
- Gastonia, NC
- NPI 1932435609
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CaroMont Regional Medical Center
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1063495117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 SUMMIT CROSSING PL",
"address_2": "STE 106",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28054",
"telephone_number": "704-867-8021",
"fax_number": "704-864-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SUMMIT CROSSING PL",
"address_2": "STE 106",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28054",
"telephone_number": "704-867-8021",
"fax_number": "704-864-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERMEER",
"first_name": "CHRISTOPHER",
"middle_name": "JOHANNUS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NC",
"license": "200101148",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "200101148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "137Y2",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "560988142",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00192298",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8913742",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "804854",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7239629",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N01141",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "D4992",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3616235",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.