David Vanderlyke, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC003874L Issued in PA

Practice address

842 Red Lion Rd
Suite 10
Philadelphia, PA 19115-1475

Phone

(215) 673-7036

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Foot Forward Podiatry PCGroup PAC ID 9830576453, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• One Foot Forward Podiatry PC

  • Podiatrist
  • Philadelphia, PA
  • NPI 1962145979
  Medicare reassignment Care Compare group NPD
• Pedirite Medical PA PLLC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1922658236

  PA

  Medicare reassignment

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1063583243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 RED LION RD",
            "address_2": "SUITE 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151475",
            "telephone_number": "215-673-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 RED LION RD",
            "address_2": "SUITE 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151475",
            "telephone_number": "215-673-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLYKE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003874L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian L Vanderbeek, MD
• Paul Vanderbeek, MD
• Leah Vanderhorst
• Eleanor Lynn Vanderklok, CRNP
• Mark William Vanderland, MD
• Amy Sorrento Vanderveer, MA, BC-DMT, LPC
• Adeline Vanderver, MD
• Paul G. Vandervoort, CRNA
• Samantha Michelle Vandervort
• Caitlin Elizabeth Vanderwindt, CRNP

• Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.

Verify at the official NPI Registry.