Individual provider Active NPI

Andrew Gerard Van Vugt, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1235398629
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C170589 Issued in CA
Practice address
2261 Market St # 86887
San Francisco, CA 94114-1612
Phone
(855) 516-7755
Fax
(650) 672-3681
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C170589 CA Primary
Internal Medicine Physician 207R00000X ME106872 FL
Internal Medicine Physician 207R00000X 238660 MA

Addresses

Primary practice location

2261 Market St # 86887
San Francisco, CA 94114-1612

Mailing address

2261 Market St # 86887
San Francisco, CA 94114-1612
Phone (855) 516-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090918000475 MA Practitioner - Internal Medicine 2769538529 Reassigns benefits to 4 organizations
I20241001002119 NH Practitioner - Family Practice 2769538529

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 Mission St
Suite 800
San Francisco, CA 94105-1705

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C170589CAMDInternal Medicine Physician
238660MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince May 1, 2015 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince May 1, 2016 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince May 1, 2015 Accepting new patients
Physicians of Cape Cod Hospital Internal Medicine CurrentSince Aug 1, 2012 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince May 1, 2016 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Family Medicine CurrentSince May 1, 2015 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Internal Medicine CurrentSince May 1, 2015 Accepting new patients
Prsca Medical Group PC Family Medicine Past Accepting new patients
Oak Hill Hospitalist, LLC Internal Medicine Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

1 University Ave
Westwood, MA 02090
Phone (617) 754-1021

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1235398629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST # 86887",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "855-516-7755",
            "fax_number": "650-672-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST # 86887",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "855-516-7755",
            "fax_number": "650-672-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VUGT",
        "first_name": "ANDREW",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C170589",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106872",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "238660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.