D. Peter Vaneenenaam, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

202886 Issued in NY

Practice address

1571 Washington St
Suite 201
Watertown, NY 13601-9304

Phone

(315) 782-1650

Fax

(315) 788-8547

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Orthopedic Surgery

Education

State University of Ny Upstate Medical University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carthage Area Hospital IncGroup PAC ID 9931010485, 119 clinicians

North Country Orthopaedic Group PCGroup PAC ID 8426043381, 18 clinicians

Claxton-Hepburn Medical CenterGroup PAC ID 8426966508, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318
• Carthage Area Hospital, Inc Hospital, Ogdensburg, NY, CCN 331324
• Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drpvaneenenaam@ncog.medentdirect.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.

• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388
  Medicare reassignment Care Compare group NPD
• Claxton-Hepburn Medical Center

  • Psychiatric Hospital
  • Ogdensburg, NY
  • NPI 1891753034
  Medicare reassignment Care Compare group NPD
• North Country Orthopaedic Group PC

  • Orthopaedic Surgery Physician
  • Watertown, NY
  • NPI 1568445344
  Medicare reassignment Care Compare group NPD
• Claxton Medical PC

  • Pediatrics Physician
  • Ogdensburg, NY
  • NPI 1114164944

  Orthopaedic Surgery

  Medicare reassignment NPD
• Carthage Area Hospital Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ogdensburg, NY
  • NPI 1013759166
  NPD
• Carthage Area Hospital, Inc.

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1891104717
  NPD
• Claxton Medical PC

  • Family Medicine Physician
  • Ogdensburg, NY
  • NPI 1013399617
  NPD
• North Country Orthopaedic Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Watertown, NY
  • NPI 1710961800
  NPD
• Claxton-Hepburn Medical Center

  • Psychiatric Hospital Unit
  • Ogdensburg, NY
  • NPI 1346301389
  NPD (past)

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

• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388
  Care Compare affiliation
• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Ogdensburg, NY
  • NPI 1669236261
  Care Compare affiliation
• Carthage Area Hospital, Inc.

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1104234376
  Care Compare affiliation
• Samaritan Medical Center

  • General Acute Care Hospital
  • Watertown, NY
  • NPI 1598713745
  Care Compare affiliation

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1316920481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019304",
            "telephone_number": "315-782-1650",
            "fax_number": "315-788-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019304",
            "telephone_number": "315-782-1650",
            "fax_number": "315-788-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEENENAAM",
        "first_name": "D. PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "202886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01670117",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macy Vanarnam, M.D.
• Maraya Lynn Vanbrocklin, OTR/L
• Mary Vanbrocklin
• Lee M. Vance, PSY.D.
• Rosina D Vandewall, PHARMD
• David O Vaneenenaam, M.D.
• Bridgit Vanepps
• Delaney Vannest
• Sam Vassallo, D.C.
• Tiffany Joi Vaughn, NP-C

• Orthopaedic Surgery Physician in Watertown, NY
• Providers in Watertown, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.
• 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.