Douglas Carl Vander Kooi, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

058523 Issued in GA

Practice address

33 Nealy Blvd
Dept of Radiology
Hampton, VA 23665-2023

Phone

(757) 764-1987

NPI assigned

Jan 22, 2008

Sex

Male

Sole proprietor

No

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 VA, CA, HI, NC, KY5 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 5

Specialty

Diagnostic Radiology

Education

Mayo Medical School, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland County Hospital System IncGroup PAC ID 1850204041, 581 clinicians

University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians

University of Louisville Physicians IncGroup PAC ID 3476725599, shared by 5 NPIs, 1,438 clinicians

Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians

Valley Radiology P aGroup PAC ID 0749181089, 32 clinicians

Columbus Regional Healthcare SystemGroup PAC ID 2961312228, 120 clinicians

Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
• Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068
• Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071
• Cape Fear Valley Hoke Hospital Hospital, Raeford, NC, CCN 340188
• Cape Fear Valley-Bladen County Hospital Hospital, Elizabethtown, NC, CCN 341315

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: dvanderkooi126870@capefearvalley.direct-ci.com
• Direct secure messaging: dvanderkooi2940654@carolinashealthcaresystem.direct-ci.com

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.

• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  Medicare reassignment Care Compare group NPD
• Columbus Regional Healthcare System

  • General Acute Care Hospital
  • Whiteville, NC
  • NPI 1376537555
  Medicare reassignment Care Compare group NPD
• Cumberland County Hospital System Inc

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743

  VA

  Medicare reassignment Care Compare group NPD
• Foundation Radiology Group PC

  • Diagnostic Radiology Physician
  • Wexford, PA
  • NPI 1740482686

  HI, NC, VA

  Medicare reassignment Care Compare group NPD
• Scotland Memorial Hospital Inc

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507
  Medicare reassignment Care Compare group NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414

  Diagnostic Radiology, VA

  Medicare reassignment Care Compare group NPD
• Valley Radiology P a

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1093723538
  Medicare reassignment Care Compare group NPD
• Augusta Health Care, Inc.

  • Diagnostic Radiology Physician
  • Fishersville, VA
  • NPI 1720717044
  Medicare reassignment NPD
• Bath County Community Hospital

  • Critical Access Hospital
  • Hot Springs, VA
  • NPI 1417989278
  Medicare reassignment NPD
• University of Virginia Imaging, LLC

  • Diagnostic Radiology Physician
  • Charlottesville, VA
  • NPI 1720233596
  Medicare reassignment NPD
• Dynamic Imaging Associates of California, Inc

  • Radiology Clinic/Center
  • Fresno, CA
  • NPI 1417584079

  VA

  Medicare reassignment NPD
• Highlands Hospital and Health Center

  • Family Medicine Physician
  • Connellsville, PA
  • NPI 1447443957

  VA

  Medicare reassignment NPD

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

• Bladen Healthcare LLC

  • Critical Access Hospital
  • Elizabethtown, NC
  • NPI 1558537282
  Care Compare affiliation
• Columbus Regional Healthcare System

  • General Acute Care Hospital
  • Whiteville, NC
  • NPI 1376537555
  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1134162597

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Pediatrics Physician
  • Fayetteville, NC
  • NPI 1295738920

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1336131010

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1386649374

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Rural Health Clinic/Center
  • Raeford, NC
  • NPI 1447255328

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Obstetrics & Gynecology Physician
  • Fayetteville, NC
  • NPI 1497757785

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1588668396

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • General Acute Care Hospital
  • Fayetteville, NC
  • NPI 1639172869
  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Fayetteville, NC
  • NPI 1639173222

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Stedman, NC
  • NPI 1811999113

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1225215155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 NEALY BLVD",
            "address_2": "DEPT OF RADIOLOGY",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236652023",
            "telephone_number": "757-764-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 NEALY BLVD",
            "address_2": "DEPT OF RADIOLOGY",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236652023",
            "telephone_number": "757-764-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER KOOI",
        "first_name": "DOUGLAS",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "058523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Valdez
• Tamara Mardrena Valentine, CSAC, QMHPC, CSOTP
• Tina Valentine, NP
• Tianna Grace Bitz Valerius, DMD
• Christy Vanclief
• Paula Vanes, PTA
• Patricia Ann Vannucchi, PT
• Mary Ellen Varney, MS CCC SLP
• Ingrid Irene Vaughan, M.D.
• Tamara Vaughn, APRN, FNP-C

• Diagnostic Radiology Physician in Hampton, VA
• Providers in Hampton, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.