Active NPI
Dale A Vanderwaal, M.D.
- Hospitalist Physician
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 82309-20
- Practice address
- 509 Biltmore Ave
Asheville, NC 28801-4601 - Phone
- (828) 213-4411
- Fax
- (866) 285-9740
- NPI assigned
- Jun 22, 2011
- Last updated
- Aug 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 82309-20 | WI | Primary |
Addresses
Primary practice location
509 Biltmore Ave
Asheville, NC 28801-4601
Mailing address
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
Other practice location 1
660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417243932 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Southern Illinois University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Clark St
Lodi, WI 53555-1010
Phone (608) 592-3241
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Internal Medicine | Current | Accepting new patients |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286
120 Riverview St
Franklin, NC 28734
Phone (800) 627-5670
190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530
430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201
700 Clark St
Lodi, WI 53555
Phone (608) 592-3241
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- dvanderwaal489564@direct-ehr-ssmhc.com
Organizations & group practices 3
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.
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
Internal Medicine
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC
-
dba SSM Health Davis Duehr Dean Eye Care - Portage
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Home Health United Hospice
- Community Based Hospice Care Agency
- Baraboo, WI
- NPI 1306990221
-
- Critical Access Hospital
- Columbus, WI
- NPI 1154403657
-
- Critical Access Hospital
- Columbus, WI
- NPI 1841376183
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
dba SSM Health St Clare Hospital-Baraboo
- General Acute Care Hospital
- Baraboo, WI
- NPI 1386641207
-
dba SSM Health St. Mary's Hospital-Madison
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
-
dba SSM Health St. Mary's Hospital - Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1194004408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1417243932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151830",
"telephone_number": "608-251-6100",
"fax_number": "608-258-6259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 BILTMORE AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014601",
"telephone_number": "828-213-4411",
"fax_number": "866-285-9740"
}
],
"practiceLocations": [
{
"address_1": "660 N Westmoreland Rd",
"address_purpose": "LOCATION",
"city": "Lake Forest",
"state": "IL",
"postal_code": "600451659",
"country_code": "US",
"telephone_number": "847-234-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERWAAL",
"first_name": "DALE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "82309-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417243932",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.