Active NPI
Nancy S Vander Velde, M.D.
- Medical Oncology Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- D58947
- Practice address
- 1601 Perdido St
Attn: Medicine Office
New Orleans, LA 70112-1262 - Phone
- (504) 553-2143
- Fax
- (504) 553-2113
- NPI assigned
- Jun 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D58947 | MD | |
| Medical Oncology Physician | 207RX0202X | D58947 | MD | Primary |
Addresses
Primary practice location
1601 Perdido St
Attn: Medicine Office
New Orleans, LA 70112-1262
Mailing address
1601 Perdido St
Attn: Medicine Office
New Orleans, LA 70112-1262
Phone (504) 553-2143
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377201200 | Medicaid | MD | |
| P00136883 | Other | MD | R/R MEDICARE PROVIDER # |
| C31152 | Other | MD | R/R MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D58947 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| The Administrators of the Tulane Educational Fund | Past | Accepting new patients | |
| Administrators of the Tulane Education Fund | Past | Accepting new patients |
Locations
1450 Poydras St
New Orleans, LA 70112
Phone (504) 903-2373
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
1430 Tulane Ave
#22
New Orleans, LA 70112
1601 Perdido St
Ofc
New Orleans, LA 70112
Phone (504) 553-2143
1430 Tulane Ave
#27
New Orleans, LA 70112
Phone (318) 767-2131
150 S Liberty St
New Orleans, LA 70112
Phone (504) 988-6300
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1235172511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 PERDIDO ST",
"address_2": "ATTN: MEDICINE OFFICE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701121262",
"telephone_number": "504-553-2143",
"fax_number": "504-553-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 PERDIDO ST",
"address_2": "ATTN: MEDICINE OFFICE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701121262",
"telephone_number": "504-553-2143",
"fax_number": "504-553-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDER VELDE",
"first_name": "NANCY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D58947",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MD",
"license": "D58947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377201200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R/R MEDICARE PROVIDER #",
"identifier": "P00136883",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R/R MEDICARE GROUP #",
"identifier": "C31152",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.