Active NPI
Martin Van Cleeff, MD
- Internal Medicine Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9500470
- Practice address
- 115 Crescentcommons Dr Ste 250
Cary, NC 27518-8134 - Phone
- (919) 859-9866
- Fax
- (919) 859-9957
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9500470 | NC | Primary |
Addresses
Primary practice location
115 Crescentcommons Dr Ste 250
Cary, NC 27518-8134
Mailing address
115 Crescentcommons Dr Ste 250
Cary, NC 27518-8134
Phone (919) 859-9866
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8984729 | Medicaid | NC | |
| 84729 | Other | NC | BCBS |
| 63261 | Other | MEDCOST | |
| 110167671 | Other | RAILROAD MEDICARE | |
| 0452676 | Other | UNITED HEALTHCARE | |
| 4284772 | Other | CIGNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | martin.van.cleeff.1@12938.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Wake Forest University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings IncLegacy Healthcare Services Inc
Practice addresses (Care Compare)
101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678
115 Crescentcommons Dr
Suite 250
Cary, NC 27518-8134
Phone (919) 859-9954
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Medi Home Health Agency
- Rex Hospital
- Wakemed, Cary Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9500470 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacobs and Van Cleeff Internal Medicine, PC | Internal Medicine | Current | Accepting new patients |
| Rex Hospital, Inc. | Past | Accepting new patients |
Locations
115 Crescentcommons Dr
Ste 250
Cary, NC 27518
Phone (919) 859-9866
Interoperability endpoints
- martin.van.cleeff.1@12938.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Cary, NC
- NPI 1093045494
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Raleigh, NC
- NPI 1285876250
-
- Home Health Agency
- Raleigh, NC
- NPI 1942252853
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
-
- General Acute Care Hospital
- Cary, NC
- NPI 1114993086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1306985494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CRESCENTCOMMONS DR STE 250",
"city": "CARY",
"state": "NC",
"postal_code": "275188134",
"telephone_number": "919-859-9866",
"fax_number": "919-859-9957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CRESCENTCOMMONS DR STE 250",
"city": "CARY",
"state": "NC",
"postal_code": "275188134",
"telephone_number": "919-859-9866",
"fax_number": "919-859-9957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN CLEEFF",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9500470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8984729",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84729",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "63261",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110167671",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0452676",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4284772",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "martin.van.cleeff.1@12938.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "115 Crescentcommons Dr Ste 250",
"city": "Cary",
"state": "NC",
"country_code": "US",
"postal_code": "275188134",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.