Peter Roland Van Delden, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M9714 Issued in TX

Practice address

23511 Hardy Oak Blvd
San Antonio, TX 78258-1928

Phone

(210) 361-3266

Fax

(210) 564-9156

NPI assigned

Jun 14, 2007

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 3

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• PVD Urgent Care LLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1033652110
  Medicare reassignment NPD Authorized official
• Hardy Oak PVDM Enterprises, LLC

  • Emergency Care Clinic/Center
  • San Antonio, TX
  • NPI 1952903197
  NPD Authorized official
• PVD Medical Associates, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1396118147
  NPD Authorized official
• PVDM-Rim Ed

  • Emergency Care Clinic/Center
  • San Antonio, TX
  • NPI 1033661913
  NPD Authorized official
• PVD Urgent Care LLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1215456645
  NPD
• Barrier Reef Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Galveston, TX
  • NPI 1275761512
  NPD (past)
• Bay Prairie Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Bay City, TX
  • NPI 1760719215
  NPD (past)
• Hondo Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Hondo, TX
  • NPI 1659383685
  NPD (past)
• Step Emergency Physicians

  • Emergency Medicine Physician
  • Floresville, TX
  • NPI 1609826460
  NPD (past)
• Texas Emergency Room Services, PA

  • Emergency Medicine Physician
  • Hondo, TX
  • NPI 1275584781
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1265636856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690804",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782690804",
            "telephone_number": "210-530-1235",
            "fax_number": "210-530-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23511 HARDY OAK BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782581928",
            "telephone_number": "210-361-3266",
            "fax_number": "210-564-9156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18007 Ih 10 W",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782579536",
            "country_code": "US",
            "telephone_number": "210-530-1040",
            "fax_number": "210-530-1187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DELDEN",
        "first_name": "PETER",
        "middle_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M9714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198439503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 2775644759-COMMERCIAL NUMBER",
            "identifier": "2775644759",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "M9714",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Davis Van Asch, DMD
• William Van Beveren
• Cecilia A. Van Bibber, M.D.
• David Van Buskirk, R.PH.
• Nichole Jeanetta Van de Putte, M.D.
• Adam Michael Van Den Boom, M.D.
• Cristina Van Dusen, MSN,RN, CNM
• Michael Van Dyne
• Lynn Van Epps, CNP
• Anne Marie Van Ess, MFTA

• Emergency Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.

Verify at the official NPI Registry.