Brent Van Til, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901002387 Issued in MI

Practice address

904 Washington Ave Ste 130
Holland, MI 49423-7724

Phone

(616) 392-7472

Fax

(616) 392-3327

NPI assigned

Aug 25, 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

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holland Foot and Ankle Center PCGroup PAC ID 1658265202, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holland Hospital Hospital, Holland, MI, CCN 230072
• Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

Merit-based Incentive Payment System (MIPS)

Final score

91.29 of 100Reported as group

Quality

80.78

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bvantil@hollandfoot.emadirect.md

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.

• Holland Foot and Ankle Center PC

  • Podiatrist
  • Holland, MI
  • NPI 1417934050
  Medicare reassignment Care Compare group NPD
• Holland Foot and Ankle Center PC

  • Durable Medical Equipment & Medical Supplies
  • Zeeland, MI
  • NPI 1780341784

  Podiatrist

  NPD
• Holland Foot and Ankle Center PC

  • Durable Medical Equipment & Medical Supplies
  • Holland, MI
  • NPI 1346916624

  Podiatrist

  NPD (past)
• West Michigan Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Zeeland, MI
  • NPI 1568981975
  NPD (past)

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

• Holland Community Hospital

  • General Acute Care Hospital
  • Holland, MI
  • NPI 1871672618
  Care Compare affiliation
• Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  Care Compare affiliation
• Spectrum Health Hospitals

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1922090554
  Care Compare affiliation

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1225285992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 WASHINGTON AVE STE 130",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237724",
            "telephone_number": "616-392-7472",
            "fax_number": "616-392-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 WASHINGTON AVE STE 130",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237724",
            "telephone_number": "616-392-7472",
            "fax_number": "616-392-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TIL",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5901002387",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Van Doorne Inc
• Emily Van Dyke
• Stephanie Van Harn, LLBSW
• Ronald M Van Kints, DC
• Michelle Van Oss, PT, DPT
• Kathleen Sue Van Til, NP
• Sara Anne Van Tongeren, MSW, LMSW
• Clare Royce Van Wieren, D.D.S.
• Susan Diane Vanallsburg, MA, LPC
• Emma Vanandel

• Foot & Ankle Surgery Podiatrist in Holland, MI
• Providers in Holland, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.