Terry Dale Van Oort, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21660 Issued in IA

Practice address

302 SW Walnut St
Ankeny, IA 50023-3042

Phone

(515) 229-0310

NPI assigned

Jan 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 8, 2016 through Aug 8, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mercy Clinics Inc

  • Clinic/Center
  • Ankeny, IA
  • NPI 1538342662
  NPD (past)
• Mercy Clinics, Inc.

  • Obstetrics & Gynecology Physician
  • Des Moines, IA
  • NPI 1508741505
  NPD (past)

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

{
    "created_epoch": "1138492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1265403216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 SE RICHLAND CIR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500213650",
            "telephone_number": "515-229-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SW WALNUT ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500233042",
            "telephone_number": "515-229-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN OORT",
        "first_name": "TERRY",
        "middle_name": "DALE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-29",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "21660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006775",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IOWA",
            "identifier": "18174",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080175023",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3006775",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE SHIELD",
            "identifier": "70990",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• V and D Leasing, LC
• Valence Dental, PLLC
• Tina Valentino, PHARMD
• Madison Amalia Van Hulle, DO
• Allison Van Oort, PT
• Danielle Van Oosbree, ARNP
• Laura Ann Van Roekel
• Victoria Van Voorst
• Ericca Van Wyk
• Jane P Van Zee, MS CCC SLP

• Family Medicine Physician in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.