Individual provider Active NPI

Adam Van Horn

  • Ophthalmology Physician
  • Saginaw, MI
National Provider Identifier
1346701539
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301508590 Issued in MI
Practice address
5161 Cardinal Park Dr
Saginaw, MI 48604-9435
Phone
(989) 797-2400
NPI assigned
Mar 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 4301508590 MI Primary

Addresses

Primary practice location

5161 Cardinal Park Dr
Saginaw, MI 48604-9435

Mailing address

2414 Swede Ave Apt 2206
Midland, MI 48642-4945
Phone (810) 610-9856

Other practice location 1

410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-9812

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
I20230531001872 MI Practitioner - Ophthalmology 0547594921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Human Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andersen Eye Associates, PLCGroup PAC ID 8921089871, 9 clinicians

Practice addresses (Care Compare)

5161 Cardinal Park Dr
Saginaw, MI 48604-9435
Phone (989) 797-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.43 of 100Reported as group
Quality
96.08
Improvement activities
40
Cost
76.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301508590MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andersen Eye Associates, PLC Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
Andersen Eye Associates, PLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

1601 Marquette St
Bay City, MI 48706
Phone (989) 249-8853

1601 Marquette St
Ste 1
Bay City, MI 48706
Phone (989) 671-2550

5161 Cardinal Park Dr
Saginaw, MI 48604
Phone (989) 249-6270

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: adam.vanhorn.p1@direct.aea.nextgenshare.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.

Hospital & facility affiliations 1

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1346701539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 SWEDE AVE APT 2206",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486424945",
            "telephone_number": "810-610-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 CARDINAL PARK DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049435",
            "telephone_number": "989-797-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-293-9812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN HORN",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301508590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.