Individual provider Active NPI

Peter Jay Van Veldhuizen Jr., M.D.

  • Hematology & Oncology Physician
  • Wyoming, MI
National Provider Identifier
1336163138
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301510551 Issued in MI
Practice address
5950 Metro Way SW
Wyoming, MI 49519-9514
Phone
(616) 252-8100
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4301510551 MI Primary
Hematology & Oncology Physician 207RH0003X 303413 NY

Addresses

Primary practice location

5950 Metro Way SW
Wyoming, MI 49519-9514

Mailing address

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-8100

Other practice location 1

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240503000839 MI Practitioner - Hematology/Oncology 9638176126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Sanford School of Medicine of University of South Dakota, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan HospitalGroup PAC ID 5597651836, shared by 3 NPIs, 421 clinicians

Practice addresses (Care Compare)

250 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5600

5900 Byron Ctr Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-7200

5950 Metro Way SW
Wyoming, MI 49519-9514
Phone (616) 252-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301510551MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital Hematology & Oncology CurrentSince Mar 13, 2024 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince Jun 15, 2020 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Metropolitan Hospital CurrentSince Mar 13, 2024 Accepting new patients
University of Rochester Current Accepting new patients
Hematology Clinical Group CurrentSince Jun 15, 2020 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
University of Rochester Hematology & Oncology CurrentSince Jun 15, 2020 Accepting new patients
Metropolitan Hospital Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

4055 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 252-4410

250 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 685-5600

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

601 Elmwood Ave
#704
Rochester, NY 14642
Phone (585) 275-5823

601 Elmwood Ave
#610
Rochester, NY 14642
Phone (585) 275-2881

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: peter.vanveldhuizenjr@hca2.eclinicaldirectplus.com
  • Direct secure messaging: pvanveldhuizen148252@direct.metrohealth.net
  • Direct secure messaging: pvanveldhuizen3382397@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1336163138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199606",
            "telephone_number": "616-252-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 METRO WAY SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199514",
            "telephone_number": "616-252-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Byron Center Ave SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495199606",
            "country_code": "US",
            "telephone_number": "616-252-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN VELDHUIZEN",
        "first_name": "PETER",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301510551",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "303413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.