Individual provider Active NPI

John Joseph Van Straten

  • Pain Medicine (Anesthesiology) Physician
  • Moline, IL
National Provider Identifier
1164712873
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036143982 Issued in IL
Practice address
520 Valley View Dr
Moline, IL 61265-6152
Phone
(309) 762-3621
NPI assigned
Apr 14, 2011
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 036143982 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 036143982 IL Primary
Anesthesiology Physician 207L00000X 036143982 IL

Addresses

Primary practice location

520 Valley View Dr
Moline, IL 61265-6152

Mailing address

520 Valley View Dr
Moline, IL 61265-6152
Phone (309) 762-3621

Other practice location 1

500 John Deere Rd
Moline, IL 61265-6892
Phone (309) 779-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IA, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160615000292 MN Practitioner - AnesthesiologyPractitioner - Pain Management 1557652955 Reassigns benefits to 2 organizations
I20170913001831 IA Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Interventional Pain Management 1557652955 Reassigns benefits to 2 organizations
I20170918002829 IL Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Interventional Pain Management 1557652955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Lake Erie College of Osteopathic Medicine, Erie, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians
Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

520 Valley View Dr
Moline, IL 61265-6194
Phone (309) 762-3621

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036143982ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Feb 18, 2017 Accepting new patients
Fairview Health Services Interventional Pain Medicine Current Accepting new patients
Ora Orthopedics, PC CurrentSince Oct 1, 2025 Accepting new patients
St Luke's Methodist Hospital Interventional Pain Medicine Current Accepting new patients
Ora Orthopedics PC CurrentSince Oct 1, 2025 Accepting new patients
University Anesthesia Providers, LLC Anesthesiology CurrentSince Aug 10, 2016 Accepting new patients
Fairview Health Services CurrentSince Feb 18, 2017 Accepting new patients
Ora Orthopedics PC CurrentSince Oct 1, 2025 Accepting new patients
Donald Normoyle MD SC Anesthesiology Past Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

6101 Northwest Blvd
Davenport, IA 52806
Phone (563) 449-7004

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Interoperability endpoints

  • Direct secure messaging: jvanstraten@ora2099.srs-direct.com
  • Direct secure messaging: jvanstraten556750@direct.unitypoint.org

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1164712873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656152",
            "telephone_number": "309-762-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656152",
            "telephone_number": "309-762-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 John Deere Rd",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612656892",
            "country_code": "US",
            "telephone_number": "309-779-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN STRATEN",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036143982",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036143982",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036143982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.