Gary M Van Deventer, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

C39157 Issued in CA

Practice address

221 W Pueblo St
Suite B
Santa Barbara, CA 93105-6814

Phone

(805) 563-0024

Fax

(805) 563-1454

NPI assigned

Sep 8, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Gastroenterology

Education

University of Texas Medical Branch at Galveston, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
• Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331
• Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gary.vandeventer@3670200745988.direct.elationemr.com

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.

• Gary M Van Deventer MD Inc

  • Gastroenterology Physician
  • Santa Barbara, CA
  • NPI 1861045106
  Medicare reassignment NPD Authorized official
• Gary M Van Deventer MD

  • Gastroenterology Physician
  • Santa Barbara, CA
  • NPI 1053508721
  NPD (past) Authorized official

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

• Goleta Valley Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1225038136
  Care Compare affiliation
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  Care Compare affiliation
• Santa Ynez Valley Cottage Hospital, Inc

  • General Acute Care Hospital
  • Solvang, CA
  • NPI 1952301863
  Care Compare affiliation

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1285628933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50706",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931500706",
            "telephone_number": "805-563-0024",
            "fax_number": "805-563-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W PUEBLO ST",
            "address_2": "SUITE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056814",
            "telephone_number": "805-563-0024",
            "fax_number": "805-563-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DEVENTER",
        "first_name": "GARY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C39157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100004009",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C391570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Romielyn Valiente, DDS
• John H Vallee, M.D.
• Valley Oxygen
• Valley Sleep PC
• Kari Dell Van Bebber Ramirez, LMFT
• Valerie Victoria Van Hutton, PH.D.
• Eileen Van Koppen, PSYD, MFT
• Arthur Van Leuven, DPT
• Melanie Van Lieshout, P.A.-C.
• Catherine Van Nostrand

• Gastroenterology Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.