Active NPI
Rebecca Ann Vanvalkenburg, D.O.
- Obstetrics & Gynecology Physician
- Grand Rapids, MI
National Provider Identifier
1083779185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5101012311
- Practice address
- 669 Stocking Ave NW
Grand Rapids, MI 49504-5176 - Phone
- (616) 235-1480
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5101012311 | MI | Primary |
Addresses
Primary practice location
669 Stocking Ave NW
Grand Rapids, MI 49504-5176
Mailing address
100 Cherry St SE
Grand Rapids, MI 49503-4526
Phone (616) 965-8209
Other names 1
- Rebecca Van Valkenburg
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | rvanvalkenburg5776@epic00.shdirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Obstetrics/Gynecology
- Education
- Michigan State University College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 John St
Kalamazoo, MI 49007-5377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherry Street Services, Inc. | Current | Accepting new patients | |
| Cherry Street Services, Inc | Current | Accepting new patients | |
| Allara Medical Group PA | Obstetrics & Gynecology | Past | Accepting new patients |
| Cherry Street Health Services | Past | Accepting new patients |
Locations
669 Stocking Ave NW
Grand Rapids, MI 49504
Phone (616) 235-1480
100 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 965-8209
550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272
Interoperability endpoints
- rebecca.vanvalkenburg.p1@direct.cherryhealth.nextgenshare.com
- rvanvalkenburg5776@epic00.corewelldirect.org
Organizations & group practices 5
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.
-
dba Bronson Medical Group
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
dba Cherry Street Health Services
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
- NPI 1558459164
-
dba Cherry Health - Tri County Middle School
- Federally Qualified Health Center (FQHC)
- Howard City, MI
- NPI 1831955251
-
- Case Management Agency
- Grand Rapids, MI
- NPI 1578979274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1083779185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CHERRY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034526",
"telephone_number": "616-965-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 STOCKING AVE NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495045176",
"telephone_number": "616-235-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANVALKENBURG",
"first_name": "REBECCA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101012311",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4249 Parkway Place Dr SW Ste C",
"city": "Grandville",
"state": "MI",
"country_code": "US",
"postal_code": "494182679",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rvanvalkenburg5776@epic00.shdirect.org",
"affiliation": "N",
"address_1": "4249 Parkway Place Dr SW Ste C",
"city": "Grandville",
"state": "MI",
"country_code": "US",
"postal_code": "494182679",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "VAN VALKENBURG",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.