NPIMap

Individual provider Active NPI

Robert J Vangemert, M.D.

  • Family Medicine Physician
  • Olathe, CO
National Provider Identifier
1376563353
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21454 Issued in CO
Practice address
308 Main Street
Olathe, CO 81425-0529
Phone
(970) 323-6141
Fax
(970) 323-6117
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21454 CO Primary
Family Medicine Physician 207Q00000X 16752 HI

Addresses

Primary practice location

308 Main Street
Olathe, CO 81425-0529

Mailing address

2233 E. Main Street
Business Options Medical Building
Montrose, CO 81401-3831
Phone (970) 765-0810

Other identifiers 5

IdentifierTypeStateIssuer
840874926001OtherCOROCKY MOUNTAIN HEALTHPLAN
01214543MedicaidCO
RO 666431OtherCOBLUE CROSS
16752OtherHIHI STATE LISENCE
453647YS6EOtherCOMEDICARE B PTAN FOR RIVER VALLEY FAMILY HEALTH CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21454COMDFamily Medicine Physician
16752HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Family Medicine PC Family Medicine Past Accepting new patients
Robert J Van Gemert M.D., P.C. Family Medicine PastSince Feb 4, 2004 Accepting new patients
Molokai Ohana Health Care, Inc. PastSince Nov 16, 2021 Accepting new patients
Mountain Radiology, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robert.van.gemert@hawaiihie.medicity.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1376563353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 E. MAIN STREET",
            "address_2": "BUSINESS OPTIONS MEDICAL BUILDING",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013831",
            "telephone_number": "970-765-0810",
            "fax_number": "970-497-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MAIN STREET",
            "city": "OLATHE",
            "state": "CO",
            "postal_code": "814250529",
            "telephone_number": "970-323-6141",
            "fax_number": "970-323-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGEMERT",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "21454",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "16752",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HEALTHPLAN",
            "identifier": "840874926001",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01214543",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "RO 666431",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HI STATE LISENCE",
            "identifier": "16752",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B PTAN FOR RIVER VALLEY FAMILY HEALTH CENTER",
            "identifier": "453647YS6E",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.