Linnelle Anne Veldhouse, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301094302 Issued in MI

Practice address

1200 56TH St SW
Wyoming, MI 49509-9704

Phone

(616) 243-5707

Fax

(616) 243-1170

NPI assigned

Jun 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Michigan State University College of Human Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

12TH Street PLLCGroup PAC ID 8325405566, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJFBDD/Endpoint/GJFBDD
• FHIR API: https://fhir4.healow.com/fhir/r4/GJFBDD

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.

• 12TH Street PLLC

  • Internal Medicine Physician
  • Wayland, MI
  • NPI 1790470409
  Medicare reassignment Care Compare group NPD

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

• Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  Care Compare affiliation
• Spectrum Health Hospitals

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1922090554
  Care Compare affiliation

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1366679961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 56TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099704",
            "telephone_number": "616-243-5707",
            "fax_number": "616-243-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 56TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099704",
            "telephone_number": "616-243-5707",
            "fax_number": "616-243-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELDHOUSE",
        "first_name": "LINNELLE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301094302",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301094302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Nicole Vanvossen, RD
• Rhea Varnes
• Pamela Newcomb Vaughn, PT
• Melanie Anne Veach, AGNP-C
• Joanna Menendez Velazquez, BSW
• Martha Carole Velting, MSW
• Michelle Velting
• Danielle Venema, NP
• Blaketon Verbeek
• Bruce H Vermeer, PSY.D.

• Internal Medicine Physician in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.