Individual provider Active NPI

David G. Vanderweide, M.D.

  • Orthopaedic Surgery Physician
  • Houston, TX
National Provider Identifier
1396752978
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H5811 Issued in TX
Practice address
12827 Gulf Fwy
Houston, TX 77034-4807
Phone
(281) 481-2649
Fax
(281) 481-0080
NPI assigned
Aug 3, 2006
Last updated
Dec 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X H5811 TX Primary

Addresses

Primary practice location

12827 Gulf Fwy
Houston, TX 77034-4807

Mailing address

12827 Gulf Fwy
Houston, TX 77034-4807
Phone (281) 481-2649

Other identifiers 5

IdentifierTypeStateIssuer
43KZOtherTXGROUP BCBS
8K9510OtherTXVANDERWEIDE BCBS
1578600813OtherTXGROUP NPI
P00109362OtherTXMEDICARE RAILROAD PROV. #
328385500OtherTXDOL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040612000061 TX Practitioner - Orthopedic Surgery 5092798892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Baylor College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 N Texas Ave
2000 Bay Area Orthopedic Spine and Sports
Webster, TX 77598-4962
Phone (281) 481-2649

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement45
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H5811TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David G. Vanderweide, MD, PA Orthopaedic Surgery CurrentSince Jun 17, 1993 Accepting new patients
David C. Brown, M.D., PLLC CurrentSince Apr 16, 2023 Accepting new patients

Locations

12827 Gulf Fwy
Houston, TX 77034
Phone (281) 481-2649

333 N Texas Ave
Ste 2000
Webster, TX 77598
Phone (281) 481-2649

Interoperability endpoints

  • Direct secure messaging: dvanderweide@dgvmp-tx.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1396752978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12827 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344807",
            "telephone_number": "281-481-2649",
            "fax_number": "281-481-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12827 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344807",
            "telephone_number": "281-481-2649",
            "fax_number": "281-481-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWEIDE",
        "first_name": "DAVID",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H5811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "43KZ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VANDERWEIDE BCBS",
            "identifier": "8K9510",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1578600813",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROV. #",
            "identifier": "P00109362",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "328385500",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.