Individual provider Active NPI

Willem J Van Der Werf, M.D.

  • Transplant Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1275563397
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
49927 Issued in AZ
Practice address
2218 N 3Rd St
Phoenix, AZ 85004-1401
Phone
(602) 252-2543
Fax
(602) 252-3861
NPI assigned
Jul 4, 2006
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5249271205 UT
Transplant Surgery Physician 204F00000X 49927 AZ Primary

Addresses

Primary practice location

2218 N 3Rd St
Phoenix, AZ 85004-1401

Mailing address

2218 N 3Rd St
Phoenix, AZ 85004-1401
Phone (602) 252-2543

Other practice location 1

500 W Thomas Rd Ste 300
Phoenix, AZ 85013-4294
Phone (602) 406-8000

Other identifiers 6

IdentifierTypeStateIssuer
119626000MedicaidWY
QM000006442OtherALTIUS
4658850OtherCIGNA
52492781200001OtherBLUE CROSS BLUE SHIELD
806894300MedicaidID
TPRA07781OtherMOLINA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20160204001394 AZ Practitioner - General Surgery 4385636737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, San Francisco School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph's Hospital and Medical CenterGroup PAC ID 6709863178, 23 clinicians

Practice addresses (Care Compare)

2218 N 3Rd St
Phoenix, AZ 85004-1401
Phone (602) 252-2543

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5249271205UTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Transplant Associates, P.C. Specialist CurrentSince Feb 1, 2016 Accepting new patients
Arizona Transplant Associates, PC Transplant Surgery CurrentSince Feb 1, 2016 Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Jan 28, 2018 Accepting new patients
Belnap Surgical Associates PC Specialist Past Accepting new patients
Canyon Surgical Associates, LLC Specialist PastSince May 31, 2006 Accepting new patients

Locations

2218 N 3rd St
Phoenix, AZ 85004
Phone (602) 200-9339

500 W Thomas Rd
Ste 300A
Phoenix, AZ 85013

3030 N Central Ave
Ste 1001
Phoenix, AZ 85012

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

File 56765
Los Angeles, CA 90074

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAHCCA/Endpoint/CAHCCA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1275563397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041401",
            "telephone_number": "602-252-2543",
            "fax_number": "602-252-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041401",
            "telephone_number": "602-252-2543",
            "fax_number": "602-252-3861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Thomas Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134294",
            "country_code": "US",
            "telephone_number": "602-406-8000",
            "fax_number": "602-406-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DER WERF",
        "first_name": "WILLEM",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "5249271205",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "AZ",
            "license": "49927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119626000",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM000006442",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4658850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52492781200001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806894300",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "TPRA07781",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.